My water broke around 2:30 p.m. when we were out for lunch. Previously discussed with my midwife, we would arrive at the hospital about 4-5 hours after this happened. She later stated that since non medicated natural birth was my plan, that 10hours would be okay since I was strepB negative. That put us at the hospital around 1:30 a.m.
I was not having any contractions or labor signs other than the premature rupture of membranes (PROM). Prior to arriving to the hospital we walked several times, used my breast pump (natural release of oxytocin), walking up and down stairs…nothing really worked. The breast pump did bring on long contractions but nothing worth noting and recording.
When we arrived at the hospital, we settled into triage for a short while before going into the birthing suite. The nurse in triage confirmed my water broke and checked me for effacement and dilation. If I remember correctly, I was still 1-2cm and 50% effaced just like I was at my prior midwife appointment.
Settled in to the birthing suite around 2:00-3:00 a.m. we used the time to get some sleep. The nurse we had we REALLY disliked. She was going to do everything possible to go against my birth plan starting with continuous monitoring. I was tired, so whatever! The lady even kept bringing up pitocin EVERY time she was in my room (every hour). Finally, the new shift came on and we had a young nurse who took me off the monitors but insisted I needed a saline lock. I figured I wouldn’t win this one because I was in a hospital setting, again…whatever.
My midwife came in checked me when she got to the hospital – I was 4-5 cm. I was getting small consistent contractions at this point. We would walk the halls for 20 minutes, come back and do the breast pump for 15
minutes, bounce and houla on the exercise ball and then it was time to hop back on the monitors. We did this for hours. Later in the afternoon, my midwife came back and no progression was made. She suggested to finish breaking my bag of water to see if that helped at all.
Ali, my midwife, was very understanding of our plan to stay away from as many interventions as possible. She explained to me that right now I had every odd against my birth plan. We wanted to go right, but my plan was going the complete opposite way. I tried to stay positive through the experience. After breaking my water completely my contractions did get stronger and very regular but I did not dilate any further. We stayed like this through the night (and shift change). I had met all the midwifes except one before labor so I was comfortable with the change. Of course the midwife that was on shift was the one I never had met.
She came in at some point Tuesday and recommended the pitocin. I didn’t have much of an option at this point, because things were getting unsafe for both Samantha and me. Actually I was pretty lucky they let me go the length of time without it (we were now at about 30+ hours after my water breaking on Sunday). I knew getting the pitocin, I was probably going to need either a pain medication or an epidural. I opted for the mild pain medication first.
At some point Samantha became face up and I was having the WORST back labor. The pain medication allowed me to doze off in between my contractions but did not ease any sort of pain. After about twenty minutes, which I thought was hours, I opted for the epidural. I discussed this with my husband and doula because it was completely off my birth plan. I was going off of no sleep they both thought it was be a good opportunity to get sleep, so I got it.
As much as I can remember, I went to sleep for a short period of time and waking up in so much pain telling my doula I need to push. Don was out getting dinner for himself and my mom. They both were calling and texting Don to hurry back. The midwife came in and checked me. I was fully dilated but cervix wasn’t quite thinned out and she told me not to push or I could rupture my cervix. I fought this for a good amount of time. The pain in my back was crazy bad and it felt good to push so I didn’t resist what my body was doing.
I probably called the midwife a handful of times begging her to start pushing and finally the last time she said we could start. When I was pushing she would turn Samantha . We would take breaks and I would cry to Don I just want a csection, can I please just have a csection! He assured me we had gotten this far and that I could do it.
After three hours of pushing, they called in the on call OB to prep me for a c-section. We tried every pushing position known to man before he had gotten there. He came in and decided to push with me a few times. He assured me I was so close I could do it. He did opt to use the vacuum, but stated he would only try three times before we had to head to the OR. The first two rounds of pushing the vacuum slipped. The third and final round, I gave it EVERYTHING (that I didn’t have) to get her out. When her head came out there was a pressure release I felt, I knew I had to continue to push to get her shoulders out, another two pushes and she arrived safely onto my chest. Don decided he wanted to cut the cord and I just laid there in awe and exhaust.
Samantha Leigh Greenberg was born on April 29, 2014 at 7:25 p.m. Happy and Healthy!
The downfall to the the longest labor ever was my exhaustion. I also ended up with a third degree perineal tear which I honestly feel may be worse than a c-section incision (that’s just my opinion)!
Sorry it took me so long to blog about her birth. Hope you all enjoyed reading.