I don’t know exactly how to go about writing baby Sami’s birth story, there is a lot I am still processing. But I know I want to record it for my future self before more time slips by and I forget the details. So here goes.
For some context, this pregnancy was hard on me physically and I was so ready to pop Sami out by week 38. I began doing every trick you’ll find on the internet to induce labor from walking in the rain to getting chemical burns on my tongue from too spicy Thai food! Despite my relentless efforts my due date, January 5th, came an went. At my last doctors appointment I wasn’t dilated and my OBGYN was unable to give me a membrane sweep (which I was desperately looking forward to).
I had an induction on the books for 41 weeks (Thursday, January 12) if baby didn’t come sooner so at least I knew the end was near. On the afternoon of Tuesday the 10th I noticed baby boy had been particularly sluggish and the prior night he didn’t have his usual kick fest so my gut told me to call labor and delivery (L&D) about decreased fetal movement. He would wiggle here and there but he just didn’t seem like his usual self. The nurses told me it doesn’t hurt to go in and get monitored. After a little hemming and hawing and with the encouragement of my husband we went in to be safe around 3pm.
The nurses set me up in triage and after about 20 minutes of heartbeat perfection from baby boy they were preparing to send me home. Just before the doctor was to come in I had a contraction. I had been having contractions for weeks and they were very long, 5-10 minutes, and infrequent. Previously I had called L&D about these prolonged contractions and the nurse I spoke with was skeptical they were that long assuming I was timing them incorrectly. We’ll there it was in the monitor, a 8 minute contraction and something else I didn’t expect.
During this contraction a nurse came in asking if I have moved the monitors. I told her no, not knowing why she had asked, but I quickly told her I was experiencing a contraction in case that could be affecting her readings. Without explanation she immediately started trying to reposition me, baby boy’s heart rate had decelerated and wasn’t coming back up in its own as the contraction persisted. Before I knew it she called a code because his heart rate wasn’t coming back up with the repositioning.
As she continued to flip me and turn me I began to quietly sob, I think because I had no idea what was going on and suddenly the room was filled with people in scrubs trying to get baby’s heart rate up. They mentioned a drug to stop my contractions, they tried trendelenburg, and everyone seemed to be taking across me hectically. Finally my contraction subsides, it was at least 7 minutes, and baby’s heart rate went back to normal.
Shortly after the crisis was averted, another nurse came in and informed me we were getting admitted. I was in shock from everything and couldn’t quite process how quickly things escalated. Fast forward I was out of triage and in the room where they would induce me, we went over our birth plan and they put me on a clear fluids diet. By the time I ordered some broth and jello I had another prolonged contraction and again a code was called for baby boy. This time it was longer and harder to get him back but they did with a shot to stop my contractions plus a cervical exam and massage of his head. I was only 1.5-2cm dialated at this point. That’s when they started talking about “fetal intolerance to labor” and the possibility of a C-section. Within the hour my husband and I weighed the options and risks of moving forward with the induction given how baby was reacting to contractions. We opted for the cesarean to hopefully prevent any potential harm, or prolonged stress to baby. It was such a hard decision because I never imagined his birth to go this way and to be very honest I have a fear of surgery, anesthesia, and needles. I felt we were entering my worse case scenario but I also felt a wave of courage to just get through it for Sami.
Pretty quickly after we decided the ball was moving. We opted for a spinal over general anesthesia despite me having eaten recently so that my husband could be in the room with me during surgery. I was in the operating room maybe 3 hours after showing up to triage that afternoon. Everything just happened so fast and I’m still processing it. Overall the C-section went well despite my fears. The only minor complication was that the first spinal anesthesia didn’t work properly and the CNRA spent a lot of time poking me with a needle to confirm until the anesthesiologist finally administered another while I was laying on my side shivering from the IVs. Once my husband was allowed in the room everything was much better. The operation felt fast, it’s a surreal experience feeling the pushing and tugging, hearing them operate but not feeling any pain.
As for his birth, I was told to expect a pressure on my chest and shortly after our baby was out at 8:43pm. After a what felt like a long pause I finally heard him cry. I cry just remembering this. The NICU team took him first and then let my husband see him and cut his cord. He was wailing and I was waiting for updates. Eventually they brought him to me as I was getting sewn up and put his head beside mine. As soon as I spoke to him he stopped crying, my baby recognized my voice.
Fast forward we spent 2 days in the hospital both baby and I are healthy, and I am recovering slowly. The whole experience still feels surreal and if it wasn’t for this beautiful baby boy lying here in my lap I wouldn’t believe it actually happened. Overall I am just grateful for that I trusted my gut, grateful for the amazing medical professionals who took such good care of us, and grateful for my incredible husband who has been an endless source of strength and courage.
PS- Sami was born a healthy 8lbs 9oz and 21” long.