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Ruby Anna |

So
back to the story... there was not enough staff on at the time to
cover the birthing rooms so they kept me in triage for about 3 hours.
Evan went and got breakfast, we facetimed with Leo (who had been very
upset when he woke up and went looking for us in our bedroom and found
Mimi instead but seemed okay when we talked to him via facetime about
Ruby arriving), watched my contractions get stronger, and finally we
were given a beautiful corner birthing suite that was nice and large. My
contractions were strong enough at that point that I couldn't talk
through them so in between contractions and bathroom trips I was
instructing the nurse and Evan how I wanted the room set up. We had a
situation with a broken rocking chair and our nurse went and "stole" a
rocking chair from a nearby room with the help of the midwife on call : )
Once the midwife was there, and saw how my labor was progressing, she
seemed optimistic about a VBAC... oh I forgot to add that they did a
quick ultrasound and determined that Ruby was head down pretty soon
after I arrived at the hospital. When your water breaks, the medical
professionals try to do as few exams as possible but it was finally time
to see where I was in my labor and if Ruby's head was presenting.
After a fairly quick exam, I was told that she couldn't really tell how
far I was dilated because she had felt something soft and what possibly
felt like an eyelash. At the time I did not know what that meant but
after calling the Dr. on- call in to discuss and evaluate the situation,
he did a quick exam and said he felt what he thought to be a tiny
nose. Now the ideal presentation in a vaginal birth is the crown of the
baby's head... some babies present with the top of their head or they
have other issues but in about 1 in every 500, 0.2% of births, (I know, I
love my ability to get in on these tiny statistics in relation to
pregnancy and giving birth), the baby presents with their face. Yes...
Ruby had her head completely back (back of head resting on her back) and
was peering out to see where she was going. This is not an ideal
position for the baby to be born in. In addition to her screwy head
position she was also sideways and her face was looking out over her
left shoulder.
My
doctor, who was REALLY great and supportive of what I wanted, gave me
two options with the possible scenarios attached to them. He didn't
make me feel pressured to choose either way and he seemed honestly
willing to do exactly what I wanted. My two options were to choose to
proceed with a VBAC, which would entail the Dr having to try and gently
push on Ruby's face to get her to pop out of the birth canal and
(hopefully) when she reentered she would have her head in a better
position. My second option was a planned cesarean section (which would
be less traumatic then my emergency one with Leo). If I went for the
VBAC they would give me an epidural (bigger needle!), have to do a
painful and potentially dangerous adjustment of Ruby (she could come
back down in the same position leading to a c-sect, the cord could
prolapse leading to another emergency c-sect and there was no guarantee
that Ruby wouldn't have some injuries due to all of this, it could also
end perfectly and I'd have my VBAC. With the planned c-section they
would give me a spinal (smaller needle!) and, typically, recovery times
from planned c-sections are better. I would also have a guarantee that I
would be awake and hear her first cries and even be able to do
skin-to-skin as long as everything was going as planned in there. After
a couple of contractions and trying to discuss this with Evan (my mom
had also arrived at this point after leaving Leo with Aunty Em), I
decided to go with the c-section. I decided, and I am happy with the
way things turned out. After my first birth experience, I was
traumatized. I am pretty sure I was in some state of shock for the
first few weeks. The difference between those first few weeks and these
first few weeks were night and day. I felt better after 2 days then I
felt after 6 weeks with Leo. I really wanted my VBAC, I REALLY didn't want a second c-section but that's life and I made the decision that felt right to me.
They ushered me into the OR. There was classical music
playing, people were moving all around getting set up, the
anesthesiologist was getting ready for me (eek!) and my contractions
were coming hard and fast, on top of each other and they asked me to sit
still for the spinal. I managed to, it was luckily quick but not
painless (for those many people who swore to me that I wouldn't even
feel or care about the needle while in labor, I beg to differ!) They
called out a few numbers, time, my name, why we were there, etc. and
Evan was also brought in looking all "Dr. Evan" in his plastic suit ;
).
I
was numb up to about my ribs, it felt like anyway, and it made me oh so
tired (remember only 2 hours of sleep in a chair)... they drew up the
curtain and headed in to get Ruby. After only a short time (maybe five
minutes) I heard a cry and they held Ruby just above the curtain
(dropping the curtain just a tad) so Evan and I could see our beautiful
baby girl. The anesthesiologist helped get my robe unbuttoned so I
could do a little skin-to-skin right there on the operating table.
While
I was lying there, listening to those first beautiful cries of my
daughter, I was imagining how another operating room must have looked 2
and a half years ago; and imagining how it would have been to hear Leo's
first cries (cries I learned so very well), and I cried. I believe I
healed some of those emotional scars left over from Leo's birth.




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My silly and lovable family :-) |
We
were able to talk with Leo not long after and made plans for a same day
visit. We were moved to our extended stay closet of a room and got
settled in. The first few hours of Ruby's life were spent dozing.
attempting breastfeeding, and snuggling her close. Leo, my sister, and
nieces were able to come visit around 4 pm that day. We got a great
video of Leo meeting his little sister for the first time and boy was he
happy to meet her. Pretty early on after meeting her he asked if we
could bring her home which we of course said yes just not today and we
also broke the news that mama and dada were not coming home either. His
sweet little face just crumpled and I felt so bad but he did recover
quickly.
Welcome home Ruby Anna!
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