Yay postnatal thread - will finally share my birth story.
First baby
Born at 37+1 gestation
Induction of labour for obstetric cholestasis
Weight 6lb 1.5oz
Ventouse delivery
I knew the plan was to induce at 37w due to cholestasis - but at 36+6 my bloods had taken a turn for the worse. Consultant did a membrane sweep in clinic which was pretty uncomfortable but I was pleased that cervix was soft and stretchy and I was told that the induction shouldn't be a problem. Went home had a show but no contractions or anything overnight.
The following afternoon I was admitted to antenatal ward. Examined 7pm cervix still looking good but posterior so pessary inserted. Not much happened until examined again 1am when midwife said it would be possible to break my waters so no more pessaries needed. I didn't get waters broken at that point as they prefer to do it in the daytime. Had some crampy pain overnight like bad period pain and was given dihydrocodeine. Didn't get any sleep!
In the morning I was taken to labour ward at 8.30am and started on the monitor. Drip inserted bloods taken. Examined and midwife broke my waters about 9 am. Started contracting but irregular so drip was started about 10am. At some point I was given the gas and air as pretty soon I was contracting well every 3mins. I tried it and immediately felt dizzy and nauseous plus it made my mouth so dry. DH was on hand with water! Also it didn't help with pain although that could be cos I wasn't taking it properly due to the dizziness and nausea!
By 11am I decided if this was really going to be painful that I wanted an epidural as I felt it was the inevitable outcome. Midwife got anaesthetist who said I needed extra blood test for clotting (due to cholestasis) before she would do it. Hence 90min delay! I really wasn't happy at this point so accepted the diamorphine injection to tide me over. It was nice. Didn't stop pain but I definitely coped better and was drowsy between contractions. Eventually 90min later anaesthetist returned- bloods ok and did I still want the epidural - er yes please!
Epidural inserted no problem didn't feel a thing. Was told it would take 20min to work. 30min later I was still in pain but all on right side bump and back with the contractions. Left side was numb. They couldn't understand this and it persisted despite an epidural top up. Eventually anaesthetist offered to try re positioning it or starting again. She repositioned it slightly which did help and I was pretty confortable for an hour.
Examined at 2pm - fully dilated! Midwife spoke to docs and plan was leave me 2 hours before starting to push to allow head to come down. During this time babies heartbeat started dipping so doctors came in. They decided to take a blood sample from top of baby's head to see if it was safe to wait. Sample was fine so I duly started pushing after my allotted 2hours!
In the meantime flipping epidural was playing up. I was feeling all the contractions in my back which really hurt! Gave me a focus for pushing though. Couldn't feel anything down below thank goodness.
After an hour baby was not arriving and heart beat still dipping. Doctor came and examined me - baby's head was sideways so less than ideal position. Had another blood sample from baby's head to determine urgency of delivery. Sample thankfully ok and doctor went away to speak to consultant about how to get baby out. They came back and said it was between delivering in room or going to theatre. They felt I was heading for theatre but said as I was pushing really well it might be possible in room. Added problem in theatre would be pain relief as epidural wasn't working well so would have been further spinal or general anaesthetic. Well I didnt want theatre so opted for in the room trial.
Doctor explained she was going to try the ventouse and would have to do a cut (episiotomy) at that stage I didn't care and would have agreed to anything.
Didn't feel the ventouse or the cut so the epidural was partially working! DD was delivered over 3 contractions with some epic pushing from me and pulling from the doctor. She was fine straight onto my chest and stayed there while I was stitched up. Had a heavy bleed after placenta so ended up on a drip for next 2 hours.
Needless to say I felt like i had been kicked by a horse!
I think it sounds pretty horrendous written down but in reality I don't think it was. I was prepared for the possibility of instrumental delivery. Just wish the epidural had worked better!! I would do it again. It wasn't as hard as th breastfeeding in my opinion!