Here we go. The full details of Paris's birth story. Read on at your own risk since I tend to be very detailed! And, it may be TMI for some that don't love all the gory details of birth.
Sunday night, May 3, I started having fairly regular and uncomfortable contractions. I would not call them painful, but they were definitely uncomfortable. I walked around some, laid down, and sat and they didn't go away, so I started thinking they were maybe the real deal. Having never gone into labor on my own though, it was really easy to second guess myself. I finally decided it was worth going to the hospital to get checked out because I feared that if it was the real thing, I would have the baby fast (as per my other births) and I definitely did not want Josh and Janelle to miss their daughter's birth. Turns out, the joke was on me as this labor was nothing like any of my others! But, we will get to that.
Devin and I arrived at the hospital at around midnight. I was still having regular contractions, but they were not that uncomfortable. We got checked into a room and the nurse checked me and I was 6 cm dilated and 90% effaced. She also kept mentioning that I had a "bulgy bag of waters". I was super stoked at hearing these numbers because I was pretty sure there was no way they would send me home at that point. I asked her if this meant I was staying and she said she would have to call my doctor to confirm, but it was highly unlikely they would send me home. Sure enough, they called him and things were a go!
This is my "yay-- we are here and get to stay and this is going to go fast" face. Again, joke was on me...
I had called Josh and Janelle on the way to the hospital and let them know we were heading in, but told them not to start coming until I knew they were keeping me. After we got confirmation that I was staying, I called them again and they headed up. They had to drop their son off with family and gather some things, so I think they arrived close to 2 am. I had just been walking the halls trying to keep things moving along until they arrived. I didn't want to get an epidural or have them break my water until I was sure they were there. After they arrived, they checked me again and I was 7 cm. The nurse and I then chatted about the next steps. I didn't want to get an epidural until I was in pain and I really wasn't in pain yet. I wanted to be able to get up and walk around, take myself to the bathroom, etc. The nurse told me that they could have the on call doc break my water and move things right along, but if I opted for that, I would probably want to have the epidural first since it would probably make things move quickly. (I had been induced with Lizzie and only had my water broken, no pitocin and things moved fast, so I also thought the same would happen). I agreed with the plan and we moved forward with the epidural first and then the on call doctor broke my water. This was probably around 3 am. I expected that things would progress quickly from there. Instead, the opposite happened and everything stalled.
The night nurse continued to check me every half hour or so and I was at 8 cm every single time. It started to get old to hear the same thing over and over. None of use knew what the heck was going on or why I was not progressing. We finally all decided to get a little bit of sleep and see what happened. Josh and Janelle went to their own room next door and slept for a while and Devin slept on the couch in my room. I didn't sleep at all. I was just anxious for things to proceed. The night nurse had told me she was sure we would have the baby by the end of her shift. Well, that didn't happen. The day nurse then came on and started the same process, checking me every half hour and continuing to tell me I was at an 8. She looked as confused as I felt every time. We decided to start some pitocin to see if we could move things along. She told me my doctor had a scheduled c-section at 7:30 AM and it would be great if we could have the baby before then. I agreed. We upped the pit every 15 minutes as allowed with still no progress. It was crazy. We are talking hours and hours of sitting at 8 cm.
This is the hey, I have been making no progress for hours and hours face...
Finally, the nurse checked me again and told me I was at a 9. She also said that she all the sudden felt what she called a "forebag" of water. I had no idea what this meant, but have since learned from my handy midwife cousins that it essentially means that after they broke my water, a portion of it resealed itself and in my case, likely blocked the progress of my cervix dilating or the baby moving down. Lucky me. The nurse mentioned that we would need to wait for the doctor to break my water again and at that point, it was 7:30 on the dot, so he was headed into his c-section. She told me we would just wait for him to be done and go from there. They turned the pit down just in case and let me just hang out. She told me to let her know if I started feeling pressure to push, but otherwise we would just wait. Another hour or so went by. Josh, Janelle, and Devin were all awake by now and back in my room hanging out with me.
The nurse came to check me again and as she did, I had a contraction and the combination of the contraction and the checking broke the forebag of water. It was a huge gush this time, instead of the trickle it had been the first time it was broken. It was so strange. Almost immediately after the water broke the 2nd time, I started having the intense urge to push. I told the nurse that I needed to start pushing and she told me to wait 10 minutes as that is how long the doctor expected to be finishing up the c-section. I tried my hardest, but I will tell you that when you need to push, you need to push. I couldn't wait. I told her I didn't care who delivered the baby, just to get someone in there because I needed to push right then. There is always a laborist on at the hospital, so the nurse called the laborist to come assist. I was a little bummed that my doctor would not be delivering at that point, but I really didn't care too much as I just needed someone to help me get the baby out.
The doctor arrived and it was the weirdest thing. She stood by my bed, not gowned up, not gloved, and said "I'll just be here if you need anything!". I was thinking, "Umm, yes, I need you to deliver this baby!" It was soo strange. I told her I needed to start pushing. At this point, Janelle and I have talked about it and decided that it was absolutely a tender mercy given what came next, this doctor (who I did not know at all) said, "Actually, why don't I run down and switch Dr. Rynearson (my doctor) out of the c-section. I will finish up the stitching and he can come deliver you." I agreed that this would be great and held off a few more minutes of pushing while she ran to switch him and he ran into the room.
When he arrived, I immediately started pushing. It quickly became apparent that something was wrong, though I did not know until later what. I could tell on Dr. Rynearson's face and on the nurse's face that something was up. They kept looking at the monitors and got more direct in their commands for me to push. I was doing my best, but apparently not good enough. The doctor told me he was giving me one more time to push and then he was going to use a vacuum to assist in pulling Paris out. I pushed as best I could, but she didn't come. He pulled out the vacuum and attempted once to get her out that way, but it popped off her head. He tried a second time and was able to get her further down the birth canal, but not all the way out before it popped off again. At this point, they told me I had to get her out on this last push. They tried the vacuum one more time and this time it stuck on her head and pulled her all the way down the birth canal. Paris's head then got stuck on my pubic bone and her shoulder also got stuck on the way out. It felt like he was up to his elbow yanking her out. I was in so much pain. I am not sure if the epidural was not working well or if it was just that painful, but it was awful. The worst pain I have been in during birth, hands down. I was apparently not regulating myself well either, so they stuck me on oxygen at the last part to keep my breathing normal.
Finally, Paris came all the way out. She was screaming bloody murder, which put me at ease right away. They put her on my belly and waited one minute and then Janelle was able to cut her cord. After she was out, the feeling in the room was indescribable. There was such a feeling of peace and such a strong spirit. I looked at Josh and Janelle meeting their baby for the first time and everything felt so worth it. It was incredible. They were both crying and watching them caused my tears to flow even harder. I was crying so hysterically that I could barely breathe. I always get emotional after delivering my babies, but this was like emotions on steroids. I could not stop crying. I was so, so happy to see this all come to fruition and to see the miracle happen for Josh and Janelle after so many years of heartache. I think I was also feeling extra emotional because I was relieved that Paris was doing well and relieved that it was all over. I also had this odd sense of pride. I remember thinking, "I did that! I grew that baby from a tiny cell that we couldn't even see with the naked eye when it went in into a full sized baby!" Science, technology, the human body, and God are all really incredible things. When Janelle and I talked later, she used the word "sacred" to describe the emotions in the room. I think this perfectly describes the feeling.
I watched as they took Paris to weigh her on the other side of the room and Josh and Janelle followed along. She was born at 9:06 AM and weighed 7 pounds, 3 ounces. She was born at 37.3 weeks gestation, so imagine if she had gone 3 more weeks! I think I just grow big babies. Genetically, she should be smaller than my kiddos because Josh and Janelle are smaller than Devin and I, but what can I say, I like to eat :)
Josh and Janelle then took Paris to their room so they could do skin to skin time and bond with her. In the meantime, my pain and agony were not over. I apparently had all the luck this day and had a piece of retained placenta. They had gotten the larger portion of my placenta out, but a portion remained. Dr. Rynearson was pounding on my belly, pushing things, shoving things, had his arm up to his elbow up you-know-where...so many fun things. And again, I was feeling all of this. I don't think this helped me calm down any, but eventually he did emerge with the piece of retained placenta and all seemed well.
These are the only two pictures Devin took. Really good photography, huh? Janelle is great at taking pictures, and luckily she has many more good ones.
The next morning, when my doctor came to round on me, I asked him the details of what had happened in the birth. Here's my layman's interpretation. He said that Paris had a very short umbilical cord (and I did see it after her birth, it was super super short), so when she started to descend in the birth canal, it essentially cut off her supply of oxygen. He said she went into bradycardia (her heart rate was too slow) for a prolonged time frame. This is what he and the nurse were watching on the monitors. He said it was a 6-7 minute window that her sats were half of what they should have been and that's why he jumped into emergency mode and did everything he could to get her out right then and there. He commented that he knew that Josh and Janelle have been through so much and he did not want to take any chances on a bad outcome for them. He told me he could tell my epidural wasn't really working and he was sorry for all the pain he caused getting her out, but he felt it was necessary. I don't blame him at all and I am so grateful for his skills and competence in getting Paris here safely. Both Janelle and I later had separate feelings that it was truly divine intervention that the laborist had the idea to go switch him out of the c-section so he was the one to attend the birth. I am sure she is great, but it was such a relief to have the doctor who knows me well, who knows Josh and Janelle's story, and who we trusted be there to deliver Paris. He also ran cord blood gasses on Paris after her birth to be sure all was well and he let me know that her numbers were perfect, so that was good news.
I forgot to mention a part of the story that I will mention now. When I was stuck at an 8 for all those hours, I started to feel some sense of panic that I would for some reason end up in a c-section if things didn't start to progress. I absolutely did not want this. I could feel my anxiety rising, so I asked Devin to give me a blessing. Josh and Janelle were in their room sleeping, but Devin did give me a blessing and blessed me that I would be able to have a vaginal birth and that the birth would be guided and that Paris would arrive safely. This blessing gave me such peace and I have no doubt, helped in Paris's birth as that is exactly what happened.
Cutest family with their new little one. I love this picture. They just look so incredibly happy.
After Paris was born, I ate breakfast, took a long nap (I hadn't slept at all all night), and showered. I then felt ready to have Josh and Janelle bring Paris back over so I could officially meet her. It was around 3 in the afternoon and they spent an hour or an hour and a half with us. It was so surreal to hold this perfect little baby who so recently had been my belly buddy. I spent some time with her and Devin did as well before we passed her back to her parents. I wanted to be really respectful of Josh and Janelle's time with Paris after her birth and their bonding process, so I did not spend a lot of time holding her and didn't spend any one on one time with her. We had a video call that evening with my kids so they could see her and I held her again then. I also very briefly held her to say goodbye the next morning when I was being discharged.
I kept a journal for Paris throughout my pregnancy with her. I made a final entry in the journal the night of her birth and gave it to her parents (they didn't know about it) the next morning, along with a crocheted baby elephant we had made for Paris. Keeping the journal was therapeutic for me during the pregnancy, but I also hope that if Paris has questions some day about what her pregnancy was like, or how I felt during the process, what I craved, what I looked like while pregnant with her, etc. she will have access to those answers as part of her story. Being able to do that for her was really meaningful for me.
"meeting" Paris for the first time
This is maybe my favorite picture ever. It just shows the love for this sweet baby. I hope she always knows what a miracle she is!
There aren't really words to describe my emotions through this whole process and what it has been like for me to be able to be involved in getting Paris here. So, I'll just echo what I said on social media when we announced her birth and repeat that it has been one of my greatest honors and joys in life to be able to assist in bringing this baby to earth and to the arms of her parents.