Little pickle continued his pattern of unpredictability, and contractions started regularly and painfully literally minutes before we left for the hospital! We waited an hour to see if they'd pick up, so that when we went into hospital we would not need the IV induction (always better natural, as the midwives have kept telling me). After an hour things were definitely hotting up, and I decided to stay and have my baby at home, since I usually labour fairly quickly now.
I was in established labour probably from 11.30am, which the midwives took from Heather's observations - she felt that the contractions became more serious "active labour" from that point (first contraction was 9.30am ish while breastfeeding Samuel to sleep for his nap, right before "going"). At first the contractions were just low soreness and very short (30 seconds maybe) but I was having about 2 or 3 of them in each 10 minute period, so they were pretty regular. I didn't have to breathe through them and I was a bit worried it would all go away! But they got stronger quickly, though not much longer. The crampy pain stayed between contractions within the first hour and it was hard to move or walk about without loads of pain, so I tried to stay still. Heather did have me sit on the birth ball for a while to really do everything I could to get things established. When it looked like things WERE, we called Jackie, and she CAME OVER!!! :) The head of community midwives! She was my main midwife and delivered Elijah, and was WONDERFUL. I couldn't have had a more experienced, knowledgeable, fantastic midwife, and I'm so thrilled and grateful. The second midwive, Karen, was someone I hadn't met before but she was lovely too.
Elijah was born after about 3 hours of established labour, at 2.20pm. Oh my WORD transition and pushing him out was hooooorrrrrrible, hehe! I always say that, because it always is! But so worth it! I had a better time of it this time, mentally, because I felt really familiar with my pattern of labour and could really see the same pattern progressing, which helped me feel more grounded when the pain became unbearable. I used no pain relief, just breathing, and holding Heather's hand.
I really did PUSH him out! I don't often do that with my babies, hehe! I had an urge to push and went with it, and if I got the feeling that I was going to lose it mid-push and start making a ton of noise, I stopped pushing and blew blew blew through the rest of the contraction for all I was worth. I gave birth lying on my right side facing the edge of the bed (facing Heather), and that's where I mostly laboured too. When I could feel his head moving down a bit during transitional contractions, I told them so, and Jackie looked but couldn't see anything. She asked if I could lift my top leg but I said I couldn't, and so Heather lifted it just as a contraction was starting, I had no choice but to push with the feeling, and his head was born very quickly from nowhere! I did make some noise when the head was crowning but not the loud wailing I've made in the past - more just a lower "aaaaaarrrrghhhh", lol! And I rolled my face forwards into the pillow to a) cope with the sensation, and b) stifle the noise for the boys downstairs. I had a clear ring of fire sensation this time, and his head really POPPED out right afterwards. I knew what that meant and I was so relieved! The contraction was already finishing, but the sensation of his body in there was so uncomfortable, so I kept blowing through that feeling until the next contraction came, which was pretty fast. I knew that would be probably the most uncomfortable part (shoulders rotating and birthing always are for me, and that is also when I tear each time), so when the contraction came I pushed but blew once I reached the point of wanting to shout about it, and just tried to let him come at his own speed (which was very fast but felt like a long and dreadful sensation all the same!). In my mind I was frantically saying to myself, "He's here, he's here, this part means he's here, let him come, let him come!" to try and ride out the moment until it was over. I knew it wouldn't take long, but I just needed something to cope with the awfulness of it!
And then it WAS over! :) Oh the relief and the absolute joy, looking down and reaching for him as they passed this TEENY little person up between my legs and onto my tummy. He was fairly quiet at first but soon became very agitated and cried quite a lot for a long time, even with snuggles and lots of love on my tummy/chest! He pinked up almost immediately.
Elijah had a true knot in his cord!!! How incredibly scary, if I had known that while still pregnant, and how thankful I am to God for sparing his life. Jackie said she rarely sees a true knot, and she's surprised his heartrate was so good all the way through labour right to the very point of birth! I asked if it could account for his slower growth, but she didn't think so particularly. He's very healthy and his cord was pulsating well still. At the scans, they had done dopplers on his umbilical cord several times to check the resistance of the flow, and it was normal and fine. I took a photo of the cord and placenta, which I could post but it's pretty gory! ;) I will if you want me to though! :)
His placenta took AGES to come out! Aaaages. I had a natural third stage as I had wanted, though they were ready to the syntometrine injection because it really wasn't coming out. I kept having contractions and it still didn't appear, and Elijah had a nice long feed but still nothing! Eventually they had me get out of bed and sit on a potty on the chair to see if gravity helped, but it didn't, and I became very tired being upright and didn't feel nice after a while, so they put me back to bed.
Eventually I wondered about the whole pregnancy/pre-labour thing being SO very contrary! No matter what decision I made, at that point something would change and I would have to do the opposite thing, and then when I thought that was going ahead, something would change again, hehe! So I said this to the midwives, and then said, "I'm saying out loud (looking sternly at my baggy tummy and directing my words in its general direction!), "I'm going to have the syntometrine injection now"!!" and then I literally immediately had a contraction and pushed, and out came my placenta in one go, all intact, lol! It was so funny because of how no matter what I've said over the past 4 days, the opposite has then occurred, and it happened just the same for the placenta in such a funny way! ;) I think it was over an hour or 90 minutes waiting for it, up to that point! They let me go longer than they usually would, just to try and keep it all as natural as possible.
They couldn't 100% confirm that all the membranes were out, because there were some ragged parts, but they told me that my body will work any little bits out, and I need to call them if I have large clots or heavy bleeding, so they can check me out.
I felt kind of feverish the last hour or two of my labour, and I took my temperature (as I had been doing 4-hourly) a couple of hours before the end, but it was normal. I figured I just felt hot because it was a REALLY hot day in a south-facing bedroom, and I was labouring. When Elijah was born and they took his temperature, it was up a little, and my heart sank. It was 37.6, so they uncovered him (he was skin-to-skin at the time, but covered with a towel for warmth) and his temp came down to normal really quick. All his other obs were fine. I wanted to take my own temperature because I did feel a bit too hot, not-right hot, you know? Eventually after the placenta palava, they did my obs and my temperature was almost the same as Elijah's had been - 37.5. I was worried it was a sign of infection, after how long my waters were broken, but they said to take some paracetamol and they would take it again before they left. It came down to almost normal, and has been back up to 37.2 (barely a raised temp at all) once the paracetamol wore off, but I've taken some more now. They said they aren't concerned about my temp, and that once the day's heat cools off and I get some rest, if it's spiking up then I need to call them and they will check me and provide me with antibiotics in case of infection, if that's the case. Otherwise they'd expect it to stay low or non-existant. An infection would make it spike higher, or produce other symptoms along with a fever eventually, so I am just keeping an eye on myself really.
I have felt remarkably well since giving birth! Probably the most well I've ever felt after birth, which is lovely! I didn't feel weak and wobbly at all after the first hour or two, and usually that doesn't happen for the first 24 hours or so. I have been able to get up and go to the loo without shuffling along feeling weak and dreadful, verrrry slowly! ;) Also, I did not need any stitches this time!!!!! :D My very first time ever not having stitches! Jackie found that I did have a tear, but it was so small. She said that she could put a couple of stitches in for me, but it wasn't bleeding at all so she felt it would be fine to just leave it to heal, if I wanted. And I DID want! ;) Stitches are no fun!
I am not feeling any soreness at all from my perineum, and weeing stings a little bit but it's perfectly bearable. My blood loss is normal at the moment and I am not having a horrible time at all with after pains - maybe the paracetamol is helping there though?
Elijah is breastfeeding well, and sleeping sooooo cutely in between. He did a huuuuuge meconium poo all over my tummy within minutes of birth, and the little waters that were left to go pop as his head was born had some meconium in them, but not much. He has done a huge meconium poo in his first nappy so far, but I am not sure if he's weed yet. I am doing his observations 2-hourly around the clock - temperature, respirations, heart rate, etc. I use my stethoscope for his heart rate. Everything is normal so far, except that last time I took his temp it was a bit too low, so I've put him in a sleepsuit instead of a vest (it's so hot, and he's on my body most of the time so I'd thought a vest was enough). Hopefully his temp has come up now. It's time to do his next set of obs so I must go.
Here are a few photos of the big boys meeting their new baby brother for the first time, about 2 hours after he was born, and then one of him finally dressed in something at about 4 hours old. He's so delightfully gorgeous and tiny (oh I almost forgot! He weighed in at 6lbs 8oz, sweet little manny!) and I think he looks most like newborn Nathan, but he's very much his own little person with his own look. ALL the boys are ecstatic about him, and Samuel is very relaxed and smiley around him too.
Thank you for praying and commenting! I really appreciate it! :)
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