Complete Childbirth

childbirth, home birth, babies, mamas, doula, midwifery

Our Baby Girl January 27, 2008

Filed under: History of Me — ericasteele @ 11:22 pm

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My husband and I had been married just over two years and were thrilled to be expecting our first child (or at least I was until his shock wore off).

 We knew right away that we wanted to use a midwife. 

We did our research and interviews and settled on June Lamphier, CPM. 

We got our regular prenatal care and heard the heartbeat at 10 weeks. 

Everything was progressing beautifully.

I had the perfect pregnancy, I never had any nausea or complications.

I sailed through the first trimester.

When I was around 21 weeks we had scheduled an ultrasound at Austin Community College since they had a free ultrasound program that you could sign up for.

Well, the day of our appointment for the ultrasound ACC called us and said that their pipes had burst and flooded the basement where the ultrasounds were done.

They asked if we could reschedule and that they were doing late term ultrasounds around 30 weeks.

I really didn’t feel the need to have an ultrasound since everything had gone so well up until this point and we didn’t intend on finding out the sex of the baby.

My husband however really felt like we should at least have one ultrasound to check out the baby and make sure all the “fingers and toes” were there.

 So I scheduled the appointment for thirty weeks (the average pregnancy is 41 weeks).

We went in and they began the ultrasound.

I laid there for about 45 minutes with no one talking to me or saying very much.

I got more angry with every minute.  I kept thinking, “don’t you know it isn’t good for me to be laying on my back for this long”. 

I could not believe the poor bedside manner that they had. (now hindsight is 20/20 and I realize that they were probably in shock; however I still think they could have done better)

After 45 minutes, they let us know that they were not seeing something that they thought they should and that they would like us to go see our doctor.

We told them that we had a midwife and that they would need to contact her.

June called us right away and said that she would meet us at Dr. David Berry’s (perinatologist).

We had to wait for a few hours for our appointment, but I didn’t feel any urgency. 

In my mind I really thought that the people at ACC just didn’t know what they were doing and that when we went to see the perinatologist that he would send us on our way.

I could not have imagined how wrong I was.

We went in and signed in.

While we were waiting June arrived and waited with us.

We all went in to the room to have the ultrasound done.

 Within 30 seconds the technician told us that yes the clinic at ACC was correct and that our baby did have a problem.

I just began sobbing.

I could not believe that our perfect little baby had a problem.

We then wanted to know what sex the baby was.  When they told us she was a girl I was so happy.

After the ultrasound, they escorted us to the doctors office to discuss the situation.

He informed us that she had a very severe form of Hydrocephalus.

He told us that she would very likely not live at all and that if she did she would most likely not be able to see, hear, talk or walk.

He listed all of our options; Out of State Abortion, since they don’t do abortions that late in pregnancy in Texas; Cephalocentesis: Using a hollow needle to puncture the skull to allow drainage during delivery (this would be because her head was so large that a vaginal delivery would not have been possible otherwise); scheduled cesarean. 

We were devastated and felt like we were in some kind of dream.

Over the next 7 weeks we had an ultrasound and sometimes more every week.

During those weeks they were measuring her head growth and the amount of fluid in her head.

When we would have the ultrasounds, all you could see was a giant black hole where her brain should have been and a very small paper thin line of brain tissue around the front of her head.

When we reached 37 weeks, they decided that it was time to schedule a ceserean because of her head size.

We went in the weekend after Thanksgiving on November 24, 2001.

Everything went just as planned.  We were referred to another obstetrician, Dr. Diane Brinkman, because Dr. Berry was not going to be able to do the cesarean. 

Dr. Brinkman was wonderful and treated us as if she had known us forever.

She took into consideration that I would like to try for a vaginal birth if we decided to have other children later in life and did the c-section the best way she could to make that possible. (she did an abdominal incision vertically and a uterine incision horizontally, which gave her the most room to delivery our little girl).

Kennady was born and gave a big yell as soon as she came out.

I was overwhelmed just to hear her cry.  It was more than music to my ears, it was a sign of HoPE.

We didn’t know if she would be able to do anything.

Robin went with her to the NICU and met a flock of family peering in the window.

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We spent the next 48 hours recovering and scheduling Kennady’s surgery for her V.P. Shunt.

After her surgery the Neurosurgeon, Dr. Ron Wilson, came to discuss the MRI with us.

The prognosis was worse than we had thought.

The hydrocephalus that they thought she had was only a symptom of what was going on .

Kennady had Alobar Holoprosencephaly and the hydrocephalus was a symptom of her brain being severely malformed.

Most children with this condition live around 6 months.

The primary cause of death for these children are pneumonia and seizures.

We spent the next six weeks in the NICU before going home with our beautiful little girl.

Kennady has lots of special needs, but she is the sweetest most innocent little angel you will ever meet.

Kennady has Diabetes Insipdus, V.P. Shunt, G-Button and is in a wheelchair.  She will never (barring a miracle from God, which we are totally open to) be able to walk. 

She is beginning to communicate with a communication switch in school.

She is now, as of November 24, 2007, 6 years old and doing wonderfully.

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Artwork by me January 13, 2008

Filed under: History of Me — ericasteele @ 5:29 pm

Artwork by me

My mom found this the other day while going through some of her old things. 

She called me and told me about it and I couldn’t believe it.

She thinks that I made this when I was in Kindergarten or First Grade.

It just amazes me.  I really thought the first time I thought about being in the birth world was when I was in high school.

I guess God really does have a plan for us from the time we are born.  And to top that, He lets little kids in on His plans.

I could be way more spiritual on this, but I think the joy it brings just seeing this picture, for me, is enough for now.

 

Birth #23 January 8, 2008

Filed under: A New Life — ericasteele @ 4:50 pm

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Well…the day started perfectly. I got up and got Kennady off to school and got the boys fed. That right there is an accomplishment in itself.

About 8 a.m. I got a call from my client.

She felt confident that this was labor, but the contractions were about 7 minutes apart and she was handling things well.

Fortunately for me the birth fell on a day that I already had childcare arranged.

So. I packed my bags and headed in to town to run some errands. I really was anticipating the birth not happening until 5 - 8 p.m. that night.

I got another call about 11 a.m. and she said that they were getting closer together, but that she had a few errands to run before they went to the hospital.

I decided at that point to go meet my husband for lunch and then run errands after that.

We ate a great lunch at Chipotle and had some good conversation.

As soon as I got on the highway, I got a call from her and she was concerned.

She seemed to be in active labor and wanted me to stop by and take a look at her to see what I thought. She seemed very serious and concerned and really seemed to be going a lot faster than any of us anticipated.

I told her that I was already on the highway heading toward her house and that I would run the one errand I had and be right over. Well, before we got off the phone she had an intense contraction and that told me all I needed to know.

I pulled over and changed clothes and went straight to her house.

When I walked in the door her husband said “you have perfect timing”.

I walked in and she was throwing up in her kitchen sink.

I went over and helped clean her up and then went to her husband and let him know it was time to go.

I think he was pretty shocked. He said “oh, o.k., so just like that it is time to go. Great.”

They got everything together and we headed out to the car.

Dad was a nervous wreck. He really wanted me to drive her, but I encouraged him and assured him that he could do it and that he needed to be with her.

We made the 20 minute drive to the hospital.

We checked in and the admission process at this particular hospital is for the birds in my humble opinion.

Anyway, she did such a great job walking and breathing through each contraction.

She refused a wheelchair on multiple occasions because she just couldn’t bear the thought of sitting through the contractions.

Which of course was all beneficial.

We got to the room and she got changed at which point we had to make another pit stop to the potty for throwing up.

When the nurse came in and checked her, she was already 9 centimeters! YYYAAAAAAYYYYY.

I can’t tell you how proud I was of her. She had handled everything like a champ so far and was almost there to see her new beautiful baby girl.

She labored for another 30 minutes. She had had some previous therapy using Hypnosis and we used it during the time we were at the hospital. It really proved to be very effective for her. I learned a lot about Hypnosis through this birth.

After about 30 minutes of intense labor, she was ready to push.

She pushed for about 25 minutes.

The doctor arrived and observed her for about 2 - 3 contractions.

After the observation he recommended a local anesthetic for pain and then after about one more contraction offered an episiotomy for delivery. He felt that the baby was only being held back by the perineum and that if he gave her the episiotomy the baby would be born right away.

It was 3 contractions later that the beautiful little girl was born.

Dad did a great job supporting his wife and mom did and exceptional job laboring and birthing her little girl.

It was a beautiful birth.

_____My Personal Thoughts_______

I was sad to hear the doctor recommend the episiotomy. It was supposed to speed the delivery of the baby, but in reality she still had to push through 3 more contractions before the baby was born. There was also no risk to the baby at that time and no medical reason to do the procedure.

There was another patient of the doctors in the other labor room that was nearing completion. I really hope that this did not influence the decision for offering the episiotomy, but I feel like it did.

It has been proven statistically that episiotomies only speed up the delivery of the baby by 10 - 15 minutes. So, why not push the extra 10 - 15 minutes and come out with an intact perineum.

Of course there is a legitimate use of episiotomies in emergencies. However in this particular situation there was not a medical emergency.