Wednesday, December 29, 2010

Ruby Harlow Collette – The Birth Story

December 29th, 2010. 5 days post due date. Around 2:30 in the afternoon. Baby Ruby enters the world.

I woke up at 6:45am on December 29th with period like cramps. I’d been having them on and off since the 24th, but nothing I’d actually consider painful. I decided to get up and go sit on the couch and watch a movie. They kept coming on, so I started to time them. About an hour later, they’d been coming on every 3-5 minutes and lasting between 45 and 60 seconds. I texted Jessica, my best friend and birth partner, and told her I thought I was in labor, but I wasn’t getting too excited about it. I didn’t want to get everyone worked up for nothing! She contacted my doula on the way over, only to find out she was sick and unable to assist with my birth. She called my midwife, Judi Tinkelenberg, who advised I should take a shower or bath to see if the contractions became more regular. At that very moment, a city worker was outside shutting off the water to my apartment and replacing pipes. Worst timing ever! When it got turned back on, the water was all gross and yellow. Jess tried running the water until it got clear, but I was convinced I could do it better than her. After about a half hour, I gave in and just took a hot shower, letting the water hit my lower back and it felt awesome through the early contractions.

Then the water got to be lukewarm. Things intensified. Weeks early, my birth partner and I decided that spaghetti would be my code word for needing drugs. I said spaghetti. I needed spaghetti! We called Judi and she said I should get out of the shower and move around, and in 15 minutes to come into the birth center for an exam. I was so against this. I argued the entire time not understanding why I couldn’t just go straight to the hospital.

We got to the birth center, Sage Femme Midwifery, at 11:20am and I had the first real cervical exam of the pregnancy. I learned I was 100% effaced but only dilated 2cm. I was so worried I was going to get sent back home. Judi asked what was going on, and I told her I was scared because things hurt so much then, I didn’t know how I could handle what was to come. She suggested I lay down for another few contractions, and she’d come see me in 45 minutes. She did let me know I should think about what I’d be giving up if I went to the hospital, after all this preparation for a natural birth, but that there’d be no judgment at all.

45 minutes later, my body was trying to push and I was making weird squirrely sounds I couldn’t control. I was vocalizing with low groans up to that point, trying to get the hang of it. Judi came in and insisted on checking me again. I was dilated to 5cm at this point so the assistant midwife went to set up one of the birthing rooms for me. The walk over there felt like it took forever, and I had to stop while having a contraction on the way there. I laid down on my side, on the bed as soon as I got in, and asked for the water to be drawn in the labor tub. I had it in my mind that the tub and warm water was going to make all the pain go away. I had another contraction and with that one, my water broke with a pop and a big gush. I lost my mucus plug just before this.

After the water was drawn, I got in and was sad to realize my pain was still there. The pain was more of a deep pressure feeling. It was pretty awful, but I managed to get through the contractions thanks to vocalizing. As the pain increased, my low groans would just get louder. I was really surprised to find out that that was the comfort measure that worked for me. When I practiced it in class, it felt way awkward. But the majority of other things I had practiced were completely out the door. Massage wasn’t doing a thing for me. I’d want to be touched, but then snap at being touched. The worst part was actually the fact that I was having back labor from my posterior baby. One good thing the labor tub did do was relax me between each contraction, which was super important for keeping my strength and momentum going. I was able to ease out of each contraction and focus inward to rest.


I have no idea how much time passed, but Judi was guiding me through contractions and having me open my pelvis on each side via a kneeled squat and after alternating sides 5 times, I was out. I said spaghetti. I couldn’t take it anymore. Judi then explained that I was in transition, and if I wanted to go to the hospital, that was okay but that I probably wouldn’t have time for an epidural anyway but worse yet, I’d likely just deliver in the car because I was so close. I knew then that I had to get through this, and it was almost done. I was asked where I wanted to push and shockingly (for me), I chose the bed. On my back.
The pushing stage was the most difficult for me. I tried pushing on my side, but it seemed my back worked best given the baby’s position. When Judi checked to see where I was, there was just a tiny lip of cervix she wanted to push over the baby’s head. Then she needed to turn the baby to help ease my back labor. It took a bit to get the hang of pushing the right way. I was sure each time I pushed, I wasn’t doing anything. I can’t saying I can’t do it, and at one point I got a bit screamy. Judi said I know you want to scream, but take all that and channel it out your bottom. So I did. Oh god, did I ever. They had me pulling up on my thighs with each contraction. My legs were shaking SO much.

I decided it was too hot so I had a wet washcloth put over my eyes. This was the best thing I could possibly do. I was able to go inward and just focus on Judi’s words. The baby’s head was crowning so her instructions to breathe and push gently were really important. Somehow, much to my disbelief, I was able to actually follow her words and gently push out her head. Of course, as soon as her head popped out, I was overwhelmed and just pushed so her shoulders came out tearing me a bit.

At 2:32pm, she was born. 3 hours after I got to the birth center. When they had me reach down and grab my baby, I had no idea what I was grabbing onto. I was a little freaked out and everything was kind of surreal. There was a bit of panic because Ruby hadn’t cried at all. Her breathing ended up being fine though, she just didn’t feel like crying! She didn’t even cry when she got her vitamin k shot.

Unfortunately, things got a bit complicated for me when it came time to birth the placenta. I think it broke apart or something but there was hemorrhaging. I had a shot of pitocin but that didn’t help as much as it should have, so I had to have another shot of something else in the other leg. I can’t remember at all what it was, but I was also given 4 pills to take over the next 24 hours. Because my labor was so quick, my uterus freaked out and couldn’t contract back down to size properly. Thankfully, the hemorrhage was mostly under control an hour or so later. I also had to have stitches for my tear.


Once I got more comfortable, Ruby was latching and eating like a little champ. I felt amazing. Sure, my ladyparts felt pretty rough, but it wasn’t as painful as I expected. I know I had massive amounts of endorphins going through my body after going through labor drug free. I’m so proud of myself for trusting my body and laboring positively. I’m so glad I didn’t give in and I was able to get the birth I wanted. I’m so grateful for Judi, my birthing team, Fiona and especially Jessica. I honestly wouldn’t have been able to do it without having my best friend there. Despite the complications and quick, intense labor, it was perfect.
At 6:30pm, I was up and getting ready to leave with my baby. By 7:00pm, I was home and cheering my friends with champagne. 12 hours from start to finish.



And from today, 2 weeks post-birth.



For more photos from the birth, check out my flickr set.

Wednesday, December 1, 2010

The Birth of Evelyn Rose

Evelyn Rose Kissinger was born on December 1st, 2010 at 1:45pm. She was 10lbs. and 2oz. and 21 inches long. I was 22 years old.


My pregnancy was not that great to say the least. It had its ups with her first kick at 15 weeks, no morning sickness, and the love i felt from this little being growing inside me. But it also had a LOT of downs.

At 12weeks, we were told by UCSF medical "professionals" that our baby had a 1 in 81 chance of DOWN SYNDROME and a 50% chance of having some other kind of chromosomal abnormality. They told us that they've never seen a case where extra skin on the back of the neck like this, didnt turn up being something serious. I was shocked! I wanted this pregnancy so bad! So after weeks of arguing with my husband, LOTS of tears, and a ton of preassure from people around me, I finally decided to get an amniocentesis... I called Judi in tears to let her know of my decision. During the Amnio at 18 weeks, I thought that I was going to get the gentleman best skilled at the procedure. But of course not... I got a resident! I didn't know of this until we left the office because I had my eyes closed the whole time. I was SO SCARED!! So with this over with, the results came back a week later and she was PERFECT! Tears of joy wouldnt stop as I called our family and friends.

After that, we had to get an Echocardiogram (an ultrasound of our baby's heart) for the fact that there could be a heart problem that the Amnio couldn't detect. Just before the Echo, we had a level 2 ultrasound. The senior technictian came to us to double check that all of the previous lady's measurement and stuff were all correct. She said to us "OH! YOU'RE the cystic hygroma!...And you're still planning on keeping the baby?" (cystic hygroma was what they called the extra skin in the back of her neck) My husband got terrified once again, but luckily the Echo was going to get underway within in the next 30 minutes. The Echo came back normal and the head cardiologist told us that "...sometimes these things can just re-absorb back into the body just before birth. You have about a 5% chance of your baby having a chromosomal abnormality, and if she does, it will be very minimal". I WAS SO HAPPY! I hugged him!

My work situation kinda sucked. I was in a lot of pain, but luckily Judi was able to write me a few notes to get me off my feet a work. I thank her so much for that.

Then we found out that MediCal changed me to a SF Health Plan without telling me that they could do that and without notifying ANYONE! That meant that I couldn't birth at Sage Femme because they only accept "Fee for Service" MediCal. I was 32 weeks pregnant at the time. I was so dissapointed! The birth of my dreams was going to be ripped away from me just because someone didn't let me know of a possible change. Judi right away sent the MediCal office a form to take me out of that health plan. For two weeks straight, I called every single MediCal office I could find, leaving messages, and talking to people about how to get this changed. I left at least TWO messages a day in addition to talking to workers. And by some miracle MediCal switched me BACK to "fee for service". Judi said that has never happened before! We were all shocked!

It really did seem like the universe was really going to make me work to have the birth of my dreams.

I finally went into labor 7 days after my due date. Once again, I woke up at about 4am having to pee. I felt a SLIGHT cramping. I woke Brandon up and told him that I believe that my early labor had started. I told him that I was fine and that we should just wait, considering they wern't strong at all. His worry was that we wouldn't get to our birth center Sage Femme in San Francisco in time. We had moved to San Jose (an hour away) while I was pregnant to be closer to Brandon's job. So anyways, I told Brandon to go to work and that I would call him if and when the contractions got stronger. Well, two hours later, I called him and told him that I was for sure in labor. He came home and started running around the whole apartment getting things ready like a loonatic. LOL. It was so funny and cute to see him like that. I was still talking through my contractions, but I called Judi to let her know that my labor had started. She also talked Brandon into calming down. I also called our doula Shannon and as she was on her way over to our apartment, I decided to take a relaxing shower. My contractions were slowly getting stronger and with every one, Brandon got more and more nervous. Shannon got to our place at a little before 12 noon and she brought donuts! So nice. My contractions immediately picked up and she started rubbing my feet and back. I wasn't able to really talk through my contractions anymore and they were coming really fast. Shannon called Judi and told her that we were on our way... an hours drive to the city.

The car ride was TERRIBLE! My husband's car is a Ford Mustang so it leaves little room to move. I put a pillow under my thigh to help lift my bum off the seat so the contractions wouldn't hurt so much. Shannon kept reminding me to "breath the contraction out...low breathing...low moans..." and it really helped. She also kept our 4 year old son Brandon calm in the back seat with her.


We arrived at the birth center at around 1pm. I got out of the car, and the pain went half away when I stood up. It felt so good to be out of that car! When Judi checked to see how dialated I was, she said I was 8cm! I had progressed about 4cm in ONE hour! We all immediately made our way to the birthing suite and I got into the birthing tub. The pain went half away again. It was sooooo relaxing to be in warm water all to myself. Brandon and our son Brandon Jr. we're giving me water, and rubbing my hair; it felt great. I loved having my two guys there. I was completely dialated shortly after. Just as I started to push, our friend Anna came into the birthing room. She had made it! And about 5 minutes before Evelyn was born, my mother-in-law walked into the room. I was sooo happy she made it! Okay, it was time to really give it a hard push because Judi said Evelyn's heart rate was dropping a bit. I had no idea she was crowing but I just listened to Judi's voice and did was she told me to do. She told me to look down and Evelyn's shoulders we're already out! I had no clue! LoL. Brandon cought her and I pulled her out of the water on to my chest. It took her about 5-10 seconds to start crying but when she did, the whole room filled with joy! My placenta was delivered 10 minutes later with Evelyn still attached by the cord. Brandon and Brandon Jr cut the cord together. I had no tearing at all.

We left 5-6 hours after she was born. I was able to walk out very easily for just having a baby. I felt GREAT actually! It was so nice to be home in my own bed where I could relax in comfort.