Silas's Birth Story - Part One: The Journey before the Journey
When you think of a birth story, you might just think of the labor and delivery part but in the case of me and my son, Silas, getting to that part was a whole story on its own. I wouldn't be doing either of us a justice if I didn't talk about the hard work it took just to get to the contractions and the pushing and finally, the baby. For me, I had envisioned going through labor, I had thought about the logistics of birth, and I had tried to imagine how it would feel to become a mom. But not once did I think about what it would take to get there.
Since my diagnosis of Gestational Diabetes, I had been going to a perinatologist every single week to check Baby's weight and size and to make sure that I wasn't having any complications from the GD. On Thursday, April 27th, 2017, the doctor told me that according to the ultrasound, Baby's shoulders were looking really big and was at risk for shoulder dystocia, which is when the baby's shoulders get stuck in the birth canal. It's a pretty serious thing and can cause very serious complications for mom and baby. I knew that Baby was going to be big but I wasn't prepared to be told that he was so big, he might get stuck! What she told me next was devastating - she told me that I should schedule a C-Section FOR THAT DAY!!! I left her office and as soon as I got to the lobby, I started crying. A C-Section was NOT in my birth plan. I called my midwife immediately.
Thank goodness for my midwife, Jocelyn. She listened to how I was feeling, she calmly told me my options, and discussed with me what would be the best route. She suggested that I go back to my perinatologist and ask if she could perform a membrane sweep, which is a procedure where the doctor would insert a finger into the opening of my cervix and gently (but firmly!) separate the amniotic sac from my cervix in an effort to induce labor. I marched right back up to the Dr's office and she was happy to do one for me. I am so thankful Jocelyn suggested getting one done because that first membrane sweep set off a series of events that were an upwards swing for not only my mood but also getting labor started. Upon doing the membrane sweep, the doctor found out that I was already 1.5cm dilated and 80% effaced! She was completely shocked at how far along I was and after the sweep, said I was now a good 3cm dilated. I was ecstatic and immediately called my midwife to figure out what to do next.
My midwife had already been on the phone to the perinatologist negotiating a timetable and had also spoken with the OB/GYN at the hospital. It was decided that I could go until Monday - my actual due date! - before I would need to go to the hospital to be induced or schedule a C-Section. While several days had just been bought, I was still rocked - I had gone from "Oh this is your first baby, you probably won't give birth until 41 weeks!" to "You have 4 days to go into labor."
I was determined to go into labor naturally. I wanted to start natural induction by doing a series of pumping sessions combined with ingesting castor oil but my midwife didn't feel I was at the point where it would be safe to do. Instead, I would continue to pump only once a day for about 20 minutes (which I'd already been doing since 37 weeks), get acupuncture designed to induce labor, do stretches to help open me up, have another membrane sweep in 2 days, and try to have a lot of positive thinking. Since I was in this to win this, I also forced myself to eat spicy food - lots of spicy food! - which if you know me, you know I don't prefer!
Long walks were a must in getting my body ready for labor! Even though I was exhausted and incredibly round, I forced myself to take walks and try to enjoy the last days of being pregnant.
And so it began - the journey just to get to the journey! It was like I'd planned a trip and now all of a sudden I was rushing to book tickets and pack. I was overwhelmed and completely stressed out. I kept thinking about getting cut open and being in a hospital and it was soul crushing. I know some other people might have chosen to schedule that C-Section right away but for me, if that was the end result, I wanted to get there as naturally as possible. I suppose it could be seen as selfish but I felt like my body had already started working on getting Baby out and I needed to honor that.
This was me trying to not be freaked out that I was about to have needles poked into my body and left there!
That same day, I got my first round of acupuncture. I stretched on the stairs and took a bath to relax. I ate spicy food and got lots of rest. On Friday, I got a second round of acupuncture where I felt intense contractions. I made my mom do acupressure on me on all the spots that are supposed to induce labor. I envisioned Baby moving down and my body opening up. Saturday finally came and I was able to get another membrane sweep which opened up my cervix to almost 4cm! My midwife felt now I was a good candidate for the castor oil and pumping method to naturally induce labor. Let's be honest for a minute - if you don't know what castor oil is or what it's supposed to do, let me enlighten you. Castor oil is a thick oil that is mostly used topically because when ingested it REALLY gets your digestive system going. If you're still confused, let me be more frank - it gives you diarrhea...a lot of it. The thought is that the contracting of all those muscles will start your uterus contracting, thus inducing labor. This sounded...well...it sounded fucking horrible. But I was determined. I hadn't come this far to give up now. Plus, I was allowed to mix the castor oil with ice cream to help it go down easier. For someone who hadn't been allowed to eat sweets for 3 months because of my Gestational Diabetes, I was *almost* excited! (PLEASE NOTE - you should not try to induce labor with castor oil without medical supervision!!!) I wasted no time and within the span of 2 hours, I'd done 2 rounds of castor oil and over an hour of pumping. I was exhausted. I still had more castor oil to ingest and more pumping to do but I was spent. I listened to my body and went to sleep...only to be woken 2 hours later to vomit up all that ice cream.
Tomorrow is Part Two of Silas's Birth Story so stick around!!!
Did anyone else do a natural induction method? How did it work out for you?