It has taken some time for me to process my emotions surrounding Cedar’s birth. Nothing about it went as we hoped it would. In fact, it seemed like every moment throughout the labour and birth process went the opposite way. It took me about 3 days and many moments of crying to write out his birth story, something I’m glad I did because now, almost 2 months later, the details are getting fuzzy, and I don’t ever want to forget. I want to share that story with you.
Adam had been working in Halifax, and got home the afternoon of Nov 30th. I was so glad he was home because we were getting close to Cedar’s due date, Dec 6, and I didn’t want to go into labour while he was away. Well it turns out he made it home just in time because at 01:20 on Dec 1st, I rolled over in bed and my water broke. It took me a few seconds to realize what happened, and I quickly went to the washroom to make sure. As I sat on the toilet, positive that my water broke, feeling my heart start to beat quicker in excitement, I called Adam to let him know.
We were hoping labour would have started before my water broke. Only 10% of women have their water break before labour starts. That is unless you are GBS+ (Group B Streptococcus Positive), then you have a 30-40% chance of having your water break first. I was GBS+ and this is exactly what happened.
If you are GBS+ the immediate and standard practice is induction. That and IV antibiotics every 4 hours throughout labour. I had done research on GBS and the studies conducted, and I felt there were some serious gaps in them, so after speaking with our midwives, we made a plan that Adam and I were comfortable with. We decided that if my water broke before I went into labour, I would start the antibiotics, but I didn’t want to be induced for at least 18 hours, to give me the chance to have a natural labour and a home birth. I thought that 18 hours would be plenty. 50% of women whose water breaks before labour starts, start natural labour within 12 hours and about 90% or women within 24 hours.
After I woke Adam up, we made sure that my abiotic fluid was clear, if it wasn’t then we’d have to go to the hospital right away. After that I jumped in the shower to clean off and Adam changed the bed sheets. When I got out of the shower I called our midwife C to let her know. It was 01:30 and she suggested we go to bed and get some sleep because we’d be needing it, and to call if contractions started. If she didn’t hear from us, then she’d come for 08:00 to check in.
Adam and I went to bed but we were too excited to sleep right away so we just talked, wondering if our baby was a girl or a boy, all the things we were excited to share with them, and the kind of person we hoped they would be. Around 02:30 contractions started. They were mild, but there. I could feel them flowing in and out like a wave. I called C to let her know and went back to bed and listened to my hypnobirthing meditation till I fell asleep. When I woke up at 07:30 the contractions were gone.
When C came at 08:00 she said she had some bad news for us. We wouldn’t be getting that home birth we hoped for. There was no backup on call so we’d be having the baby at the hospital. She said we’d be able to have the baby in the Midwife Labour Room, which is more like a room at a birthing centre as opposed to the clinical rooms at a hospital. We talked about our options and knew that we’d have to go into the hospital to get my first round of antibiotics, so we followed C to the hospital. I also called our doula Cori to let her know what was going on.
My first round of antibiotics was given at 10:00 and for the next 12 hours Adam and I did EVERYTHING you can think of to get labour started. Nothing worked. I felt devastated. In my mind I had come to terms with having the baby at the hospital in the Midwife Room, but an induction meant that we were in the regular room and that I’d be constantly hooked up to the fetal heart rate monitor and have a continuous oxytocin IV drip, limiting my movement. It was definitely not what I wanted and I could feel my anxiety around this reality increasing.
Once we got home from our second last antibiotic treatment, I decided to go to bed and try and relax. I was putting a lot of pressure on myself to go into labour and I knew that stress wasn’t helpful so I put on my hypnobirthing meditation and just focused on my beautiful baby that I’d be meeting soon.
At 22:00 we went in to the hospital with our bags packed, we knew that the next time we’d be leaving there, we’d be doing it with our baby. C and Cori were waiting for us when we got there. C went over the two options for induction and that it would depend on how ripe my cervix was, but that she’d have to call the OB because they’re the ones that take over with an induction. Dr. G was called and when he arrived he gave me a vaginal exam. He said I was 80% effaced and he could feel the babies head so I’d be getting the oxytocin induction. That seemed like good news to us given the situation. I was thinking “OK, my body is ready for this, Baby is ready to come. It’s not how we hoped it would be, but it’s going to be great and we can do this!”
We moved from the exam room to the labour room, and Cori and Adam went out to the van to grab our bags. We brought our speaker and a small essential oil diffuser, as well as our own pillows and a cozy blanket from home to make the space feel more personal. C came in to check on me and let me know that the nurses would be taking over for the night, and that they’d call her once I got into active labour: contractions ever 3 minutes lasting for over a minute. If I didn’t go into active labour by the morning she’d be in around 10:00 to see how I was doing. Then she left and the nurses got me all hooked up. Cori also went home at this point because we didn’t know how long it would take for the oxytocin to kick in, and we all thought it would be better for her to go home and get some rest.
There is no way your getting any rest when you’re being induced, no matter how exhausted you are. It was about midnight when everything was all said and done, so we were almost 24 hours in at that point with very little rest. The nurses come into the room every 15 minutes to check the baby and my progress and to check my blood pressure, ensuring that even if you do fall asleep you’ll be woken up regularly.
Two hours into the induction, contractions had started. They felt completely different then the ones I’d had just after my water broke. These ones didn’t build, the just hit me, and then I could feel them receding. They weren’t that intense yet, I could still talk through them, but I could feel them getting more frequent. At 03:30 Adam called Cori, and she came to join us shortly after. It was great to have another person there, and the three of us chatted, helping the time pass. As my contractions intensified, Cori grabbed this heating pad and would press it into my lower back while I was contracting which really helped relieve the pain. As the contractions intensified, I focused on my hypnobreathing, going into myself, and letting the outside world slip away.
Around 05:00 the oxytocin drip was at full dose and by then I could no longer talk through the contractions. I moved around, used the washroom, bounced on the ball, leaned on the ball, hung on Adam’s neck. At some point exhaustion set in and I laid in bed and tried to rest in between contractions. They were so much more intense while I was lying down, but I stayed down resting as long as I could. The contractions got more are more intense, they were coming every couple of minutes lasting 30-45 seconds.
Just before C arrived at 10:00, Cori said I shouldn't get my hopes up that I’d be dilated more then 4 or 5 cm. C checked me and said that I was only 1 cm dilated. My heart sank. I’m sure that Adam and Cori could see the panic in my eyes. The first thought in my mind was how could I have been in labour, contracting since 02:00 and not dilated at all! I was so exhausted and sad and all I could think was how much longer could I last like this if I’m only at 1 cm! I knew I’d be able to do it - I remember thinking about something our other midwife saying: “It’s painful, but you can do anything for one long day”. Then C said that she could feel some swelling on babies head, she was concerned about it and would be calling Dr. G to get an opinion. When she came back she said she’d be taking me off the oxytocin to see what happens while we wait for Dr. G to come.
By the time Dr. G arrived my contractions had almost disappeared completely. I was still having them, but they felt more like aftershocks and I could easily talk through them. After Dr. G checked me, he and C went out to talk. They came back and gave us two options on how to proceed. Option 1: they keep me off oxytocin for 12 hours and let us rest in the hospital while continuing the antibiotics every 4 hours. Then if labour hadn’t started on its own they’d induce me again. He said that I had about a 50% chance of having this baby naturally. Option 2: C-Section.
Adam and I needed to talk everything out, so everyone left us alone. We both cried. Everything we wanted was slipping away. This was a hard decision. If we decided to hold off, that would likely mean 48+ hours of antibiotics being pumped into both mine and the babies system killing all our good bacteria and putting us both at risk for yeast infections like thrush later on. The baby was stable right now, but if we did this all again in 12 hours, might that put the baby in distress and send us off for an emergency section? The babies head was swollen, not a concern now, but what about after more time pushing against my cervix? Are we putting the baby at more risk for a 50% chance of having a vaginal birth? What if we did this all and then ended up in a section anyway? Would we get any rest at the hospital, be even more exhausted going into an induced labour again? What if the induction didn’t work again?
There were just too many “what if’s”, and both of us had a gut feeling that it was too risky. We decided on the c-section. This meant that if we ever have another baby we won’t be able to have that home birth we hoped for. Heart broken again. Once we gave Dr. G and C our decision, Dr. G went out to book the section and get ready. C stayed with us to see how we were doing. She said she thought we made the right decision. That made us feel a little better. We knew she’d be there with us and that gave us comfort.