Wednesday morning (11/21/12) came and James and I headed into the OBs office knowing I was going to ask for an earlier induction. Matthew's movements had slowed and were making me anxious as in the back of my mind I heard the statistics of loss during the third trimester for women with a unicornuate uterus. To go that far and to lose him was NOT an option. at 36 weeks, I knew that he would be strong enough to survive on the outside, while my womb was seeming to be a more and more dangerous place by the day.
My NST took a little while to pass, he just didn't want to cooperate. Then came the ultrasound. James and I could both clearly see in the Right Upper Quadrant, and the Right Lower Quadrant there wasn't any fluid visible to measure. Then came the left, and all she measured was one spot of 4.1....4.1 is well below the 6 where they decide to induce. I had been warning James that Wednesday was going to be the day, I had spent all weekend and the beginning of the week cooking food to freeze, attempting to finish some chores around the house, and just mentally preparing.
I was right. The doctor said that it was the day for Matthew to come meet us as faces and not just voices. We went home, took a nap, got the rest of the hospital things around, and ran the errands that were needed. At 4pm we showed up at the hospital to start the induction, for them to tell us that they were full and to come back between 5 and 6. I guess that was the first warning of how my induction was going to go: hurry up, and wait.
We went to dinner together at Applebee's. I started having contractions 5 minutes apart and thought surely we were going to have a Thanksgiving baby. Boy was I wrong. The doctor had checked me at the appointment I was 50% effaced and not dilated at all. Cervix of steel wasn't ready to let Matthew join the world. I wish I would have asked after the first day on IV fluid and not doing anything all day for them to check on his fluid level again. It would have saved us several days in the hospital, and probably the struggles we later had with our little man.
They decided the first line of defense was going to be cytotec by mouth. I was SUPER anxious, because I remembered how painful doing the miscarriage with cytotec was. Then they explained to me that with an at home miscarriage they usually use 600-800mg and for induction it is only 50mg because baby would not tolerate a higher dose (I looked once home I had taken 800mg vaginally, and then 400mg by mouth). When doing cytotec you are allowed ice chips, and are continuously monitored for both contractions and fetal heart rate the first 2 hours after taking the pill, followed by a two hour break where you can move freely and eat the first hour if you are feeling up to it. And I was! We walked so much around that third floor of the hospital I got to know the faces on the walls pretty well. After several (I cannot remember at this point if it was four or five...) doses of cytotec by mouth, they decided to just go for the pitocin. I was 2cm dilated at the point and not any further effaced. In the hopefulness of the nurse, she started my penicillin IV for my Group B Strep. Bad choice...after two doses that vein was trash, it ached, it was inflamed and let me tell you I could deal with the contractions much better than the burning of the medicine going into my vein. Crazy how certain pains affect people differently.
The pitocin really did nothing for me other than make my contractions too close together (7 in 10 minutes, I was miserable without any time between contractions to re-cooperate from the previous one) so they ended up shutting it off. And taking another try: Cervidil. They let me have a little break, I showered, ate and then said OK I am ready to go. I believe by this time it was Thursday night. My sister stayed with me and I let James go home. James was fighting off a cold (actually Thursday they said he was showing signs and symptoms of bronchitis but his lungs sounded clear *they did this when he had pneumonia last time as well* so to play it safe for both his and Matthew's sake they gave him antibiotics) and the spot they had for him to sleep was horrid. Especially for being a bigger guy.
The nurses kept telling me that by looking at my little guy on the fetal monitor strip they would not guess he was a low AFI. I guess I should have taken this as their hint to tell me ASK FOR ANOTHER ULTRASOUND! By Thursday I was miserable. I was tired of laying in the hard beds, by back ached from back labor, and I was getting cranky in general with so many contractions but lack of change in my darling cervix.
Finally I was at 2.5cm, but still 50% effaced. Doctors came in and gave me the option of c-section. But I stood my ground, I plan on God allowing us to have at least one more child, and I did not need the c-section to add to my risk factors. They decided to go ahead with another dose of oral cytotec because I was feeling SO tender near my cervix due to the cervidil. Surprise, surprise...it did nothing. THEN came the big guns, cytotec vaginally.
My contractions got a bit stronger, I started to feel my cervix change a little bit. One pill wasn't enough though, another vaginal cytotec was used. FINALLY I was somewhere between a 2.5 and 3cm and really "mushy" when Doctor P came in and told me she thought it was time to break my water. I was entirely for it at this point! And boy were we in for a surprise.
It took a little bit, but finally my water was broke. And the flood gates opened. I GUSHED, it felt like gallons of water. Definitely like I had just peed all over the bed. But good news, the fluid was clear. :-) The doctor was surprised and kind of looked disappointed in the fact that I had laid in bed all this time for essentially nothing, she said, "Well, that's definitely not an AFI of 4. But there's no going back now. You're going to have a baby!" Pitocin was started back up, and labor had officially begun to progress for me at this point.
And now bedtime for me, Matthew has made a few squeaks, so soon he might want to eat again then praying for a 3-3.5 hour stretch of sleep. I am going to pump and then see if he is waking up by then. I will leave you with one picture of my little peanut today, as he is now one week old (how CRAZY is that?). My heart swells with how blessed James and I truly are, and I cannot believe that this little being came from inside of my body. That James and I created this little boy that is so perfect in our eyes. He is handsome and everything I have prayed for during the pregnancy for him has came true for the most part. God is too good to us. My heart overflows.
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