Things are looking up on the OB/midwife front!
First, I found a good hypnobirthing practitioner. She was an R.N. for 25 years, then became a hypnotherapist, and a few years ago started teaching hypnobirthing. I go back to her for one more session on Tuesday.
When I went to her in May, I discovered that she works out of a chiropractors' office, one of whom specializes in pregnant women and children. This was a Godsend, since I’d been looking for a good chiropractor and had no leads.
I don’t normally go to chiropractors, but I did go at my doula’s insistence before I had my second baby. As opposed to the back labor I had with my first, John came out in four hours without one back pain, still in his bag of waters.
At first I wanted to find a chiropractor again based on superstition (hey, it worked once!), but then my back started hurting. Standing, sitting, it didn’t matter. I felt like I had a 300 pound gorilla sitting on my back.
Within a few visits, she made my pain vanish, and I feel as normal as one can with 30 extra pounds hanging from her midsection. She also has worked on my neck, which I trashed in a car accident three years ago. That feels better too!
In other good news, I
finally worked out a plan with my OB that I feel comfortable with. I had postpartum hemorrhages with my first two babies, caused by uterine atony (the uterus didn't shrink and firm up as it should after birth). They both left me on the verge of transfusion and requiring four weeks of recovery on the couch. This meant feeling lousy, watching my house fall to pieces, not getting out of the house, and relying on my mom and in-laws so Brian could go back to work. It was also very scary, considering that many women have died from this kind of thing, or required emergency hysterectomies.
My OB had told me that he would give me a boosted dose of Pitocin first, then Methergine, then wait. Well, this didn’t sit well with me since that is what they did after John's birth, and I ended up bleeding out in my maternity room while ordering lunch three hours after delivery.
So at my next visit, I brought it up again, and we added these precautions:
• When I’m admitted, they will type and crossmatch my blood, so that if I do need a transfusion the blood will be there (this can take 45 minutes or more, so better to do it in advance).
• I will stay in labor and delivery for 8 hours postpartum, so I can be closely watched.
• They will keep Hemobate, the drug that stopped the bleeding last time, in my room.
• The nurses will check me every half hour or so for the first 24 hours postpartum, to make sure my uterus is firm.
Once we got this plan in place, I asked him The Big Question: Can I birth with the midwives and have the doctors take over postpartum? He said sure. I’m so relieved about this! I’ll miss my doula, but at least I won’t have to miss my midwives, too.
Yesterday, I saw my midwife for the first time. The bad news: The hospital got rid of their birthing pool, so that’s not an option. (What is
wrong with them?) The semi-bad news: This baby is face up, and if she stays that way, I'm looking at back labor again. So this baby and I are going to have a talk this evening, and if she doesn't turn her little fanny around, she's going straight to the naughty corner after she's born.
But then, this good news: At three weeks before my due date, I’m 3 centimeters dilated and 80 percent effaced! I said, "Maybe I'll go early!" And my midwife said nothing. So I said it again. "Maybe I'll go early!" And she said, "Don't get too excited. Women can walk around at 3 or even 4 centimeters for weeks." But I'm not convinced, I think it looks good for an early delivery! Don't you think?
Of course, now I’m in hyper-nesting mode. My bag’s not packed, my paperwork’s not complete, the baby’s laundry’s not done, and she doesn’t even have a name! So you know what I will be doing all weekend ...