Standard Operating Procedure

After Emma was born, I wrote a lengthy account of her birth--both for my personal diary keeping purposes, and to help me work through the mixed emotions I was having about things not going according to plan.

To be fair, I feel like I should account for Leo's birth as well.  I'd hate for 12 year old Emma to lord over 11 year old Leo that mama loves her more and she knows it's true because mama wrote an essay about how she was born, and didn't write one about him.  I know that's ridiculous, but I've played the scene in my mind a dozen times already.  They'll fight about enough without my adding literary imbalances to the mix.

So where did Leo come from...  The story is actually a little interesting, in that I had some last minute issues with my blood pressure that could have potentially become dangerous for one or both of us.  Throughout my entire pregnancy with Emma (and my normal, non-pregnant life), my blood pressure was nice and low.  In the 90 over 65-ish range.  Always has been.  Then on the day of my scheduled induction with Emma, it had jumped up to "high".  Can't remember the exact reading, but I recall my OB indicating that if I hadn't already been scheduled to induce, my BP was high enough that she would have recommended it.

I never thought much about that blip in my blood pressure trend during my pregnancy with Leo, until I went in to see my Ohio OB at about my 36 week appointment.  After almost an entire pregnancy with low blood pressure, mine was starting to rise.  At 36 weeks, it was still within the high end of the 'normal' range, but at 37 weeks, it was high enough for the doc to tell me to stop working and order some blood tests.  I ended up having two rounds of bloodwork that showed that my liver enzymes were elevated and my platelet count had dropped by more than half.  Being a good reader of the pregnancy blogs, I was educated about pre-eclampsia and HELLP, and was worried that Leo might not be okay.  After the second round of bloodwork, my OB pushed up the date for my scheduled C-section so that he could get Leo out before things got any worse.  According to the doc, I was still okay (although I did see stars every time I moved my head and I was swollen to the point of craziness), but my condition could go from okay to dangerous in no time at all and there was no need to wait to see if that would happen.

So, on March 24, nine days before his scheduled due date, Leo was born.  A scheduled C-section is SO much less dramatic than an emergency C, and my recovery was a lot easier too--since I didn't have labor to recover from as well.  I arrived at Grant hospital an hour before my scheduled surgery, and due to an overflow situation, got sent to a relatively posh labor and delivery suite for my pre-op activities, instead of one of the tiny triage rooms.  We hung out there for about an hour and a half while I changed into a gown and got prepped for surgery.

After answering a lot of questions, getting an IV, and having visits from my OB and anesthesiologist, I was walked down to the operating room (not wheeled!) and got the the spinal block.  The anesthesiologist added a longer-lasting pain med as well called duramorph (sp?) which lasted for about 24 hours and eliminated the need for IV pain relief after the surgery.  From the time I walked into the OR until I had Leo in my arms was less than 20 minutes.

As comfortable as I felt with the idea of the C, and as excited as I was for Leo to arrive, I had about a dozen episodes of anxiety through all this that felt like I huge pressure and tightening of my chest.  I talked to the docs about it, and since they were constantly measuring my vitals, they knew that it wasn't actually physiological.  The episodes were scary to me, and I worried that they were an indicator of panic attacks to come, but I had the last of them during the surgery and have been fine since.

The best part about my experience this time around compared to last time, was that I was able to hold Leo right away.  As soon as he was cleaned up, I got to hold him skin-to-skin.  Before they even weighed him!  We left the OR with him on my chest and I was able to cuddle with him and nurse him right away.  I kept him with me for over an hour before JMT went with him to the nursery for a bath and to get checked out.  What a treat compared to the isolation I felt when Emma was born and I was relegated to a solitary recovery room with a bored nurse and no one else.

The next best part about this experience was having our families around.  JMT's folks were there for moral support before and after the surgery.  It was a huge relief to JMT, I think, to know there was someone there for him in case something went wrong.  It was great to have his folks hang out with me in recovery while he and Leo were in the nursery.  And it was wonderful to have both sets of our parents around to visit with us, bring food to the hospital, and shuttle Emma around.

My recovery this time around was better too.  I was up and walking around sooner, and braver about what I could and could not do sooner than last time.  It was a little rough at the 24 hour mark when the duramorph ran out, but once I got on a good schedule with my pain meds, I did fine while I was at the hospital.  And with only a few exceptions, I was fairly independent and mobile once I got home as well.

This maternity leave has been so different than my time at home with Emma.  For one, I'm more confident and settled in my routines and approaches to a variety of baby issues.  And also, I'm so much more busy!  Even though Emma spends her weekdays at daycare, it is still a lot of work managing the lives of two kids under 18 months old!  I've spent many hours nursing Leo and thinking about what I should write about this experience, but then I never get a chance to because who has time to write when you have two crazy babies?