Showing posts with label hospital. Show all posts
Showing posts with label hospital. Show all posts

Monday, 12 October 2015

Labour and birth story

Here we are nearly 6 weeks on and to be honest it's taken me up until now to feel normal again & properly get over giving birth to our little girl. I thought it was time I put pen to paper as such because amazingly I'm actually already forgetting about aspects of my labour! 
I know everybody tells you that you forget about the all of the pain the instant your baby is in your arms but I 100% did not believe that was possible - but it definitely is!


So Tuesday 25th August (40+6 weeks pregnant) I went to see my midwife for my second stretch and sweep. The first had been done at the hospital when I was 40+3 and the nurse said she couldn't really reach my cervix properly yet so unsurprisingly it did nothing. So to be honest I wasn't expecting much from this second one either. It was a little more uncomfortable than the first time, my midwife said she was able to have a good sweep and that my cervix appeared favourable so all good signs....& off I went on my way.

That evening I had mild tummy aches, less than period pains & I'd had the same after the first sweep so didn't think it necessarily meant anything. Then at 3am I woke up with stronger tummy pains. At this point I still wasn't 100% sure whether they were contractions & whether this was actually it but I couldn't get back to sleep - out of pure excitement and hope I think because the pain wasn't bad at all - so I told G I thought maybe something was happening, that I'd come get him if the pains kept getting worse and got up, went downstairs to watch some telly & eventually started timing what I realised they were definitely contractions.
I used the Pregnancy+ app on my phone which was fab, looking back at the history now it was 3:45 when I started timing and contractions were lasting less than 30seconds and coming all over the place, sometimes 6minutes apart & sometimes 15minutes apart.
At this point I told G this was definitely it, Squish was definitely on her way and rang the hospital to find out what they wanted us to do.
They told me to ring back when contractions were coming 3 every 10 minutes and lasting for over a minute each time - or if my waters broke.
By 5am the contractions were coming as frequently as they said they needed to be so I rang back. I was basically told there was no way I was in established labour because I was far too calm so that I was welcome to go down to the hospital to be checked if I wanted to but id probably be getting sent home again.
In my head I was so set on staying at home as long as I could possibly manage and getting sent home was not an option, so I agreed to stay at home abit longer. Don't get me wrong the pain had got stronger but it was still totally bearable & I was coping well. In between contractions I felt completely normal & wasn't struggling yet. About this time I got in the bath to help manage the pain but again I wasn't struggling too much so I just had a little relax and took time to realise this would be my last peaceful bath for a while! G called his mum to come round & collect Marley, she only lives 2 minutes round the corner so didn't mind.
I then rang the hospital again to say could I come in because the contractions were still coming frequently & getting stronger and was told again that I was far too calm so must be in very early labour so again agreed to stay home a while longer.
By this point it must have been about 6am & we sat up watching Ex On The Beach (loving this series by the way!), then I was suddenly aware I was very damp and that my waters had broken. There was no huge gush like you expect, I just felt like I needed to go to the toilet all the time & kept getting G to pause the telly so I could go sit on the toilet again and again.
After this went on for a while and id got through 3 different pairs of knickers, pads & pyjama bottoms me & G both agreed it was time to go to the hospital. They'd told me to ring & let them know I was coming & I said to G "you're going to have to ring & speak to them because they don't believe me that I'm in labour". Looking back it's ridiculous that the midwives on the phone made me feel like that, just because I was dealing with the pain well and could hold a conversation without screaming like a banshee they shouldn't assume that nothing much was happening yet. So at about 7:30 off we went....

G drove me to the hospital (he doesn't have a license and just drives my car as a learner with L plates and me present so it was always a dodgy situation). To be honest I probably could have driven myself because the pain still wasn't unbearable but it was definitely hurting more and I may have had to pull over during contractions. When we got there I actually parked the car so really didn't feel too bad.
We were greeted by a midwife quite quickly and shown to an examination room up on the antenatal ward at about 8am. She was very patronising telling me just to remember that the uterus is only a muscle and it was only contracting and that it was still very early days so I shouldn't be getting too worked up - bearing in mind all I was doing was scrunching my nose up & pulling faces every time a contraction came. Still no noises or screaming but I never thought I'd be that girl to be honest.
They left us alone in the room for ages and finally got round to examining me at 9:20 where we discovered I was already 8cm dilated!! I have honestly never been so relieved in my life as when the midwife uttered those words. Those were the words that reassured me I wasn't crazy, I was in established labour and this did hurt! I wasn't being a drama queen. And I was also amazed with myself for getting this far & feeling pretty okay - I always thought I had a horrendously low pain threshold so who knew?
After this is was like my midwife had a personality transplant! All of a sudden she couldn't be any nicer to me if she tried, I was a hero & she couldn't believe how amazing I had been & they never would have been able to guess I was 8cm from the way I was acting because I was still calm and holding conversations like normal. I was then rushed down to a delivery room pretty quickly and passed to the loveliest midwife ever called Ali who we actually had looking after us for my entire labour from this point.



She examined me pretty quickly, confirmed I was 8cm and said basically they wouldnt be examining me again for 4 more hours. When you are in labour for the first time they expect you to dilate half a cm per hour so she said they would give me 4 more hours of labouring naturally before they would need to talk about any interventions (if nothing further had happened) and obviously if I got the need to push before then we would crack on with pushing.
I was given gas & air which worked well for me. Beforehand I wasn't sure whether I would like it or whether it would make me feel sick. The first few "puffs" (is that what you say?) made me abit lightheaded but I was good after that. I wouldn't say it helped with the pain massively, people say it just takes the edge off but I wouldn't even say that. I don't think it made much difference to the pain at all but it gave me something else to focus on during a contraction and helped with my breathing.

From this point on things went pretty downhill. They let me labour on and obviously the contractions got stronger and more painful. By 1pm I was 10cm when they examined me but to be honest I think I had been for quite a while before that because the pain had increased a lot. Squishy was low down all through the end of my pregnancy but back to back, so looking up towards my tummy rather than down towards my bum (if that makes any sense at all?!) Ali said she had started to turn so things would probably be okay and probably be able to push her out with no problems naturally. And then Ali took a lunch break.....
The midwife that covered her for an hour was a total witch, she kept telling me off, was sooo patronising and kept getting really close to my face with her horrid bad breath which was not making me feel any better! During this hour I really started feeling the pain a lot to the point where I was sure something had to be wrong. I know my body and I had dealt with the severe pain up until now pretty well and I knew this wasn't right. "Witch" midwife examined me again, confirmed I was 10cm and said the baby had turned and was now in the right position so I would be able to push whenever I got the urge and get her out no problem! Easy peasy right?
This carried on for a few more hours. I was really really pushing and really really in serious pain!! I couldn't control the urge to push anymore, with every contraction I had no choice but to push but nothing seemed to be happening and Squishy wasn't moving down enough. My contractions started becoming less and less frequent so less efficient with helping me get Squishy down the birth canal. They weren't sure whether Squish was getting distressed at this point because her heart rate was going a bit funny so they cut the top of her head to take blood and be sure of the state she was in.
About now I'd say 4:45pm, they examined me again - finally - told me that "witch" midwife had got it wrong and that Squishy hadn't turned round into the right position at all which is why I couldn't push her out. She was stuck and because of the position she was in it would have been physically impossible for me to push her out. The angle at which her head was sitting was too large to come out first. She was also a pretty big baby (not that we knew this for sure yet!) so probably a little bit too large for me to get her out naturally which didn't help plus my contractions were faded away so all the odds were against me,
Luckily I had managed to push Squish down enough so they said I would be taken down to theatre but able to deliver her naturally just that I would need assistance with forceps, but if she hadn't been low enough for them to reach her I would have needed a c-section for sure. At the mention of forceps & going to theatre I literally freaked out. I was imagining absolutely ripping to shreds and feeling all sorts of horrendous pain. I had no idea that they would actually give me a spinal so I would be numb from the waist down and not able to feel a thing. They quickly ran through all the possible risks etc with me & got me to sign a consent form whilst G went and got changed into some scrubs. Absolutely terrifying to think about what could go wrong but you don't really have much choice do you?
We had the loveliest team of doctors all reassuring me that everything would be fine and that I was still going to have to do all the work and push Squishy out they were just going to help me. Before I knew it the spinal was going in - I remember panicking and making them wait until a contraction had just finished because by this point I was in sooo much pain & squirming around all over the place when contractions came and I was petrified id end up paralysed or something if I squirmed mid-spinal being administered.
I became numb pretty quickly. The doctors kept spraying ice cold water on me to tell whether I was numb enough yet and eventually I was numb all the way up to my chest which was the strangest feeling! I remember trying to cough & sneezing a couple of times & it felt like I couldn't do it because I couldn't feel the muscles to make them work - bizarre!

As soon as I couldn't feel the pain from the contractions anymore I felt absolutely fine. I could have laboured on for hours more after that. Luckily I didn't have to though at 5:40pm...two contractions and two big pushes later our beautiful baby girl was here. All 8lb 9oz of her!
Without a doubt the most amazing moment of my life!


Unfortunately because of the circumstances G didn't get to cut the umbilical cord and Squish didn't get placed straight onto my chest which are two things I really had hoped for but by this point I was so happy and relieved that she was here and healthy nothing else mattered.
The doctor lifted her up over the sheets so I could see her and then she got taken over to the little unit where doctors and midwives check the baby over. Probably only 3 or 4 feet away from me but because I was lying down and numb I couldn't really tell what was going on. G went with her and helped to get her all wrapped & cosy in a towel and had first cuddles before she was brought over to me and snuggled in my nighty for some skin to skin.

I just remember cuddling her for ages and ages while the doctors stitched me up. Again because I was numb I knew nothing about it, or delivering the placenta for that matter - both of which I'm relieved about. I later found out I'd lost over a litre of blood which is quite serious so I'm pleased I hadn't realised at the time because I would have panicked for sure!

We then got taken back to our delivery room and got Squishy properly dressed in her first little outfit and nappy. We picked out a plain white babygrow with baby pink hearts all over it. Even though Squishy was a pretty big baby all her newborn clothes were still too baggy for her with loads of spare room.


Luckily because I'd given birth quite later in the afternoon/early evening we got to go home the next morning. We had to have quite a few checks through the night both Squishy's blood sugar levels (because of the blood pressure medicine I had been on at the end of my pregnancy) and my iron levels because of the amount of blood I had lost. Thankfully both were fine and we were discharged and set off ready to start our new adventure as a family!

I'm so sorry this post has turned out to be somewhat of a novel - it's so hard to shorten these birth stories isn't it? I wanted to make sure I got all the details down to look back on and remember because believe it or not I am already forgetting some of it!
If you got this far congratulations! And thank you for reading!

I'd love to read your birth/labour stories and experiences so please link below

XOXO

Monday, 3 August 2015

High Blood Pressure in Pregnancy

If you follow me on Twitter or have seen my 36/37 week bump updates then you may have seen I was admitted to hospital for the night this week.


I'm currently suffering with high blood pressure in pregnancy (gestational hypertension) which effects an astounding 1 in 10 pregnant women.
This basically means that my heart is having to work extra hard to pump blood around the body to Squishy and I, and putting my body under extra stress and strain.
If my blood pressure is still high during labour I would have to be constantly monitored and possibly need help to deliver because it would be safer to keep labour as short as possible. I've also been told an epidural would be highly recommended to me as that can help lower blood pressure during labour but is something I'm hoping to avoid if possible.

Gestational hypertension typically develops after 20 weeks (before then it is likely that you had high blood pressure problems before falling pregnant) and the longer it goes on for the more dangerous it can be - possibly resulting in pre eclampsia which is a whole other story and can be very dangerous and potential fatal for mum and baby if left untreated.

I'm sure most of you are familiar with a standard blood pressure reading? Well it's the second/bottom (diastolic) number that seems to be my problem and is rocketing at over 110 - a normal reading would be 70-80. Pretty much any reading over 100 is a serious concern and something they would look to give you medication to control but because my blood pressure is very up and down and goes back down very quickly again they have held off until this point because I was on the borderline of concern if you like?

I must say my hospital don't seem to be the best at keeping me informed or explaining what is happening and why, which definitely worries me. I'm learning to ask more questions and make sure I feel completely informed now which has helped my anxiety a lot. All the midwives, care assistants and consultants that have looked after us have been absolutely lovely and more than happy to help with anything we needed.
They checked my blood pressure every 4hrs overnight to ensure it was going down now they have given me medication, took regular urine and blood samples and kept checking my pulse and temperature. They would regularly hook me up to the machine to monitor Squishy's heartbeat which was the most reassuring thing. Everything else is normal and my blood pressure has come under control so I'm allowed to go home.


I'm quite relieved to finally have some medication to help with this because for the last 4 weeks every time I see the midwife we go through the same process of my blood pressure being high, getting sent to the hospital for further tests, blood pressure goes down again, they send me home - so I feel like I'm being constantly passed from pillar to post with no real solution or answers.
Fingers crossed everything will calm down now and with the medication as long as my blood pressure stays within the healthy range the doctors are happy for me to go full term (or later). Worst case scenario is that my blood pressure will keep going up, even with the medication, and if that happens they will look to induce me but the doctor has said he'd be happier if I got to 38 weeks (so 4 more days from now!)

Have you experienced any problems with blood pressure during pregnancy? I'd love to hear about it & what the outcome was
XOXO

Monday, 8 June 2015

The Low-Down on Birth Choices

So as I'm now in the third and final trimester of my pregnancy, naturally I am beginning to think about the big event.....LABOUR! Eeeeeeeek!
Alarmingly in a recent Which? survey 34% of mothers said they knew nothing or not much about their choices on where to give birth and this is something that absolutely has to change.
I think it is so so important for expectant mothers, whether having your first or fifth child, to be provided with the knowledge to make a personal decision on where they would like to have their baby. Of course every pregnancy and mother-to-be is different and while a traditional birth in the labour ward of a hospital may be perfect for one woman it may be the absolute last thing another lady would want so to feel like you have no or little choice in the matter must be awful.

To be honest although I am quite aware that other birthing options are out there, until this week I hadn't really given much thought to any option other than having Squishy in a hospital setting.

The lovely people over at Which? very kindly sent me three birthing boxes* in the post last week each designed to help me with my decision on where I would like to give birth. The boxes I received were: Hospital Birth, Birth Centre Birth and Home Birth, each one full of various products that may be useful in each setting.




The first box I opened was the Hospital Birth box which contained the following:
- iTunes gift card
With Squishy being our first baby it's possible that labour could go on for a long long time and be slow to start so it's definitely a great idea to load the iPad up with films & music to keep us entertained during that inevitable waiting period.
- Eye mask & ear plug set
Again this may be useful if I am in labour for a long time and need to try & get some rest. Particularly in the muddle of the day or on a busy labour ward.
- Charging cables
Inevitably we will be sure to take cameras, phones and iPads galore to the hospital to capture Squishy's first moments and let everybody know once she has arrived so a multi-charger device like this will come in super handy.
- Lip balm
I've heard that using the gas & air during labour dries out your lips like crazy so this is something I actually meant to pick up for my hospital bag anyway.
- Battery operated fan
I'm so so happy to have received a battery operated fan. I was looking out for a small handheld one to pop in my bag but this one has so much more power to it. I've heard lots of stories from friends where the hospital has been "unable to find" a fan when they really really would have appreciated one during labour so this will definitely been coming along with us.
- Healthy snacks & beverages
- Water bottle
Again if I'm in for a long labour healthy snacks and plenty of water will hopefully keep me going. Nevermind keep G occupied as well. I'm actually really looking forward to stocking up on one of my favourite drinks Pink Lemonade Lucazade for labour because I'm trying to be good and have avoided it during my pregnancy as it has a lot of caffeine.
- Flipflops
Something I'm sure a lot of people forget to pack in their hospital bags. These Haviana flipflops will be ideal for showering after I've had the baby. Or just as something easy to slip on and have a wander round the hospital to get things moving along - as Squishy is due in August I am expecting hot weather and swollen feet so these may be the only things that feet on my feet by then!





Next up was the Birth Centre Birth box which contained the following:
- Hair ties
Very practical, essential in labour when you have as much hair as I do and something every girl needs more of right?
- Thermal spring water spray
I have heard amazing things about this La Roche-Posay Thermal Spring Water Spray so cannot wait to try this out when I need cooling down.
- Hot water bottle
I use a hot water bottle a lot for my gallstone pains at the moment so I'm hoping it will help me in early labour while I'm still at home.
- Dressing gown
- Slippers
Both essential in my opinion for a bit of comfort & dignity after the event. This dressing gown is also lovely & light so won't take up too much space in my bag like my big fluffy ones at home.



And last but certainly not least the Home Birth box which contained:
- Plastic sheeting
This is an item I hadn't really given much thought to until a friend recently mentioned them. Should I chose a home birth I would honestly imagine keeping things clean and tidy is the last thing on your mind but if I don't then a waterproof sheet would certainly be useful to protect our mattress from any waters breaking anyway.
- Aromotherapy room spray
- Receiving blanket
This blanket is gorgeous and so so soft. Perfect for Squishy's first cuddles.
- Birthing ball
All of my friends highly recommend birthing balls during the later stage of pregnancy and labour so I am definitely keen to give this a try.


 

If you are still feeling like you don't know much about your birth choices and options I can highly recommend the Which? Birth Choice website. They have gathered so much information into one space I really have learned a lot even in just a short amout of browsing time.
The website has a handy birth choice tool which asks you a few questions about your expectations and hopes for your labour and then recommends the best place for you to give birth based on your answers.

For me personally the birth choice tool recommended a labour ward or a birth centre alongside which hasn't surprised me. A birth centre birth definitely does appeal to me and I like the idea of the whole labour being more relaxed and calming than perhaps a hospital environment would be but the 
hypochondriac can't help but want the medical side of things in place should I need it. I think if I have a positive experience with labour this time round I would certainly be more open to a birth centre birth if we decide to have any more children after Squishy.
Once the birth choice tool has given you your results it also lists the details and addresses of your local birth options based on your post code which is so so helpful. It details the distance of the birthing centre or hospital from your house, the size of the unit, how many times it has been closed in the last year, who can give birth there, how you will be looked after there and lots more great information.

There are also other parts of the website where you can get expert advice, a frequently asked questions areas and much further detail on all aspects of labour whether that be pain relief options, more about the birthing pool or the pros and cons of each birth choice.

After weighing up the pros and cons of each type of birth choice I still think we will be going with a Hospital Birth. Im not keen on the idea of being transferred to a hospital during labour, should should need arise, and for me & G it's important to know we are in the best place and in the safest hands should something medically go wrong. Before falling pregnant with me my mum had a stillborn baby full term so subconsciously this is something that is at the back of my mind and along with my gallstone problems we definitely feel a hospital is the best place for me to give birth.

The hospital birth box seemed to contain lots of practical items to be used both during and after labour which I like. There are also plenty of items that seem geared towards a long labour which, as I mentioned, as a first time mum is something I am conscious may be quite likely. For that reason I actually think all of these items will be assisting me during labour at some point. Both the birth centre box and the home birth box also contained items that I think we will still use in a hospital environment but they definitely lean more towards providing comfort rather than practicality.

So it seems like all is left for us to do now is get packing mine & Squishy's hospital bags!
Eeeeeeek!


Where will you be giving birth to your little ones? I'd love to hear about your choice and the reason behind it?

If you're enjoying our pregnancy updates I'd love you to follow our story either here or on Bloglovin'
Are you around the 29 week mark? I'd love to hear from fellow August mummy-to-be's
XOXO