Monday, April 11, 2011

Delaney's Birth Story

I woke up on Thursday, March 31 with contractions.  They felt different (more painful) than the Braxton Hicks contractions that I had been having for a week.   Still, they were about 10 minutes apart and went away once I got up and went for a walk with Brice and Dakota.  I had no other signs that labor was impending, and it was my last day of work anyway, so I didn’t even bother timing any of the contractions I had throughout the day.   Brice had also woken up not feeling good and with cold symptoms, so I already had someone to take care of!   
After soup and salad for dinner, we went to bed early since Brice was not feeling any better.  Even though I was trying to fall asleep, the contractions were pretty painful and at around 11pm, I told Brice that maybe we should start timing them.   We timed them for about an hour and they were consistently 4-6 minutes apart.  We called the doctor on call who told us we should go to the hospital, so we took showers and got the rest of our things packed up.  Neither of us were convinced it was “the real thing,” but we decided that we might as well go in since it was the middle of the night and so there wouldn’t be much traffic if we were sent back home (only in LA does one have to consider traffic when going into labor).  We left the house at 1am, dropped Dakota off at my parents (she was very confused the whole time we were getting ready to go) and got to Cedars at 2am on April 1. 
Right away we were put in a triage room, they took all of my information and vitals and 2 bands got strapped around my belly—one to measure my contractions, one to measure the baby’s heart rate.  The nurse mid-wife came in and introduced herself as Diane (Brice’s mother’s name), and we felt like it was a sign.  Contractions were still 4-6 minutes apart and I was 2cm dilated (I was fingertip on Tuesday at my last appointment).    She called Dr. Serden to give him our update, and he told her to admit me and that he would come at 6am.   When we got this news at around 3:30am, we both started to feel like today might be the day.   An April Fool’s Baby was no joke!   We called Brooks and Bonnie in Palm Springs to give them the heads up.  We hadn’t told anyone else, besides my parents when we dropped off Dakota, since it was the middle the night and even though we felt like today might be the day, it certainly wasn’t going to be happening any time in the near future. 

Dr. Serden came at about 6:30am and by then my contractions had slowed down to every 6-8 minutes.   He gave us the option to go home and labor there for awhile or start on pitocin to kick start the process.  One of the best things about the pregnancy has been Dr. Serden, and we already trusted him implicitly, so we deferred to him.   He suggested that we get going on pitocin because I was already making some progress, I was already at 40 weeks and we were already there and checked in.  We agreed, and I’m so glad that we did, since just a few hours later the waiting room was PACKED and Brice overheard a couple saying that they had been waiting for 2 hours for a room to open up.  The triage room was extremely tiny, dark and pretty uncomfortable, but I was so happy we even had a room!  
Judy Glover, our nurse, checked in at 7am and would stay with us for the rest of the day.  She was fantastic.  By 8am, she got me on the IV for fluids and pitocin in my left arm, a blood pressure band on my right arm, and we were on our way!  
The pitocin certainly did get things going.  Contractions started to pick up and get more painful.  Brooks, Bonnie, Howard and Sam all came by, but I was still in the triage room so there really was no room for more than 1-2 people and I was pretty uncomfortable to even socialize.   I just gripped onto the hospital bed rail and did counting and breathing techniques.   By around 11am I started thinking about getting some pain relief medication.  I wasn’t entirely sure that I wanted the epidural yet knowing that once I got it, I wouldn’t be able to get up and walk around any more, and given how early I was in labor, the thought of being unable to get up and move around for hours and hours and hours was not appealing.  
Dr. Serden came back at about 12 and said that he was going to break my water and that contractions would pick up even more after that.   I decided that was my cue to go ahead and get the epidural, and I’m SO glad that I did, because even during the 30 minutes that I waited for one, they were getting stronger and stronger. 
The epidural was fantastic.   Although I was really scared having seen those gigantic needles before, the doctors and Judy were great.   Getting the IV was actually more painful than getting the epidural.  The sensation was very surreal.  While I could still move and wiggle my toes, I was definitely numb and felt so much better immediately.  My spirits were up, I could talk and RELAX.   Amy, the resident, broke my water, which did not hurt at all surprisingly, thanks to the epidural.  The only problem was by this point I had 2 belly bands, 2 IVs in my left arm (pitocin and fluids), blood pressure strap on my right arm, epidural down my back and catheter on my left leg. 
I was so relaxed and having not slept since Wednesday night, I told Brice I needed to rest.   He was pretty hungry anyway and needing some fresh air, so he went out to grab lunch.  While he was out, I noticed that the baby’s heart rate was going down during contractions since I could hear the monitor.  When Judy checked it out, she agreed but said it was not unusual and put an oxygen mask on me.  Of course, Brice kind of freaked out when he walked back in and saw me with an oxygen mask in addition to all of the other tubes, monitors, bands, etc. on me. 
Although I could feel contractions picking up, at around 2pm, they checked me, and I was only 5-6cm dilated.  We told our parents to stay where they were, that it was probably not going to happen until late tonight, and especially because we were STILL in the triage room, we didn’t want everyone waiting around for hours and hours.   
Finally at 3pm a delivery room opened up and we got moved/I got wheeled out from the triage room.  The delivery room was beautiful.  One whole side was windows looking towards the Hollywood Hills.  It was very spacious and bright—we were so much more comfortable. 
It wasn’t long before our peace and quiet came to an abrupt end.   Judy was the first one in and then 5 more doctors came running in as alarms were sounding on the monitors.   The baby’s heart rate had dropped too low during contractions.   While they turned down the pitocin, flipped me in all different positions, got Dr. Serden on the phone right away, and tried to calm me down, I started crying (fogging up my oxygen mask) and shaking.   Brice held my hand and tried to keep it together, but I could see him shaking too.  We found out the next day (thank goodness) that the cord was wrapped around the baby’s neck and so every contraction was pulling on her neck causing her heart rate to drop.  After awhile things seemed to be in control, and they checked me again and I was already 7-8cm.  We decided it was time to call the parents and let them know that it would probably happen in a few hours so they should start thinking about getting ready to make their way here. 
Dr. Serden came at around 5pm and we both immediately felt so much better.   He was so calm and comforting, and neither of us were nervous or scared any more.  He checked me and I was already 9cm, so Judy started getting the room ready.  Both Judy and Dr. Serden were so calm (of course they were, they do this every day), and so we also felt calm.  We were so surprised that I had gone from 6cm-10cm so quickly.   We called our parents again and told them to HURRY, this was happening NOW.
Although I had envisioned my legs in stirrups, surrounded by nurses and doctors, huge lights over me, a big blue plastic sheet over me, sweating, screaming and panting away, the scene was so different.   It was just Dr. Serden, Judy and Brice in the room with me.  My legs were not in stirrups, and Dr. Serden sat on the edge of the bed.  It was so calm and peaceful.  Dr. Serden said that we were ready and at 5:55, I started pushing.    The epidural was still in full effect, so I did not feel any pain, just a lot of pressure.  I had 3 sets of pushes, and 10 minutes later, Delaney Miya London was born.   
She joined us crying right away and we watched her arms and legs kicking out, thrilled to not be confined to the tight space any more.  They put her on my chest and even through our tears, we could see 10 fingers and 10 toes, a full head of dark hair, and the cutest, warmest, squishiest little body—perfection in every way.   We were so overwhelmed with emotion I had to remind Brice to get the camera out.  

She scored 8 and 9 on her Apgar, weighed 7 lbs 10 oz (I could not believe so much!) and measured 20.5 inches long.   Meanwhile, I delivered the placenta, Dr. Serden stitched my tear and harvested the cord blood for banking. 
I could not stop shaking, so they put a warm blanket over me and I requested to start breastfeeding right away once her vitals were all checked.   It was amazing to see her latch on and start feeding immediately, like she knew exactly what she was doing.    Nature is miraculous.  Brice went out to the waiting room to tell our families, who had all just barely made it minutes before.  
Everyone piled in—Brooks and Bonnie, Howard, Paul and June, Sam and Chris and Stephanie—and it was a beautiful time for our family.  Brice got to hold her for awhile and she stared at our faces calmly. 
After awhile I was moved to post-natal and got set up there.  I finally got to eat (after over 24 hours of nothing but clear liquids) and they finally took the IV out. 

Although we were both exhausted, I could not sleep very much.  I just could not wind down from the experience.  Delaney was exhausted too and slept soundly.   She made a few cries out during the night but stayed asleep.  I nursed her the times that she cried for awhile, and the nurses showed us the basics of how to burp, change a diaper, swaddle and soothe.   It was not a restful sleep since nurses kept coming in to check vitals, we woke up at every peep out of Delaney, and there was no way I was going to sleep with all the excitement from the day before and the day ahead. 

On Saturday, Dr. Serden came to check on me and everything looked great, and Dr. Kleiner came to check on Delaney and everything looked great with her too.  Unfortunately, Brice had continued to get sicker and sicker, and by the afternoon, we were really concerned that he was putting Delaney, me and the other parents and newborns in danger.  It was one of the hardest things Brice has ever had to do, but we made the decision for him to go home in the afternoon.   I kept him up to date with lots of calls, pictures and the nurses took excellent care of Delaney and me.   Meanwhile, Delaney passed her newborn screening test and hearing test. 

We had many visitors at the hospital—Benita and Darren Litt, Brooks and Bonnie, Howard, Sam and Chris, Barbara Glucksman and Joanne Vaisman, Stephanie, and our neighbors Judy and Kasey.   Between socializing with friends and family, nurses coming in every few hours to check our vitals and learning how to take care of Delaney,  the hospital was not a very restful place.  After final check-ups from Dr. Serden and Dr. Kleiner on Sunday morning, we were finally discharged and were so happy to go home.     
Dakota was thrilled to greet us and the introduction to Delaney went really well.  Dakota was not very interested in her at all, but has gradually gotten more loving and protective of her since then.   Danielle and Michelle had arranged for a stork to be in our lawn, and so the whole neighborhood knew about our homecoming.   We’ve had a steady stream of excited visitors, and we are adjusting really well.   Thanks to the help of Kim, our night nurse, we are getting into a schedule already, which Delaney is very responsive too.   Breastfeeding has been going extremely well, and since I got sick as well a few days after we got home, I knew especially how important breastfeeding would be.   We get more confident and comfortable every day and are loving every moment with Delaney, meltdowns and sleepless nights too.   She holds our whole hearts in her sweet little hands. 

Stats:
Delaney Miya London
7 lbs, 10 oz 
20.5” long
Date:  April 1, 2011 
Time:  6:05pm
Location:  Cedars Sinai Medical Center, Los Angeles California
OB/GYN:  Dr. Scott Serden
L&D Nurse:  Judy Glover
Post-Partum nurses:  Mary, Carrie, Dulce, Helene

Wednesday, March 30, 2011

39 weeks



How far along? 39 weeks

Doctor’s appointment:  We had our 39 week appointment yesterday.  Unfortunately I’ve made no progress in the last 3 weeks.  I MIGHT be just a fingertip dilated, but just barely.  Although it is still 1 week before my due date, at my first internal 3 weeks ago when she was already so low, I thought she would definitely be here by now.  More than the frustration of having made no progress, I am just very uncomfortable due to her low positioning.  However, she is healthy and happy as can be inside, and that is what is most important.   Dr. Serden will induce at 41 weeks, so she will definitely be here in less than 2 weeks! 

Symptoms:  BH contractions have been going strong since the weekend, nearly all day.  However, there is no pattern to them, so they are not “real contractions” yet.   We are told to call when they are 5 minutes apart, last 1 minute, for 1 hour.  I feel pretty good in the mornings, but by the afternoon I’m very sleepy and by the evening I am extremely uncomfortable.  Getting in and out of bed (which happens about 4-8 times per night) takes a huge amount of effort.   

Labor Signs:  None yet - just the BH contractions.

Weight gain/loss: +26 lbs

Maternity Clothes:  It’s in the 80’s here so I can actually wear some of the maternity sundresses that I didn’t think I would get to! 

Sleep? I’m still taking the sleeping pills every night, otherwise I would never sleep.  I still have to get up continuously to go to the bathroom.  I’m looking forward to my last day of work on Thursday so that I can start napping during the day. 

Best moment this week?  I had an amazing foot massage and then we went to Hatfield’s for a fancy date night. 

Movement: Movements are still very strong—I’m impressed since I really don’t think there’s much room in there. 

Food cravings/aversions:  Sam brought over my favorite vanilla cupcakes from Joan’s on Third!

Belly button in or out? Amazingly still flat, so I think it might actually never go out. 

Stretch marks?  From what I can see, just a few, but the varicose veins in my left leg are truly frightening. 

Exercise:   We normally get up at diligently at 5:45am on Tuesdays to go to spinning class, but after spinning on Saturday, I decided to retire the spinning shoes.  My legs were hitting my belly, and there’s enough pressure in my pelvic region without sitting on a bike for an hour.  I’m disappointed since I really wanted to do it “up until the end,” but I’m still proud that I was able to do it for as long as I did.  So now I’m just walking, walking, walking, and doing some prenatal yoga. 

What I miss? I really missed having wine when we were out to dinner over the weekend.  Although I know 1 glass would be fine, I’ve gone this long without any alcohol, what’s another week? 

What I am looking forward to? Tomorrow is my last day of work!  I’m trying to plan something fun for every day so that I can have something to look forward to when I wake up and she’s still not here. 

Thursday, March 24, 2011

38 weeks

38 WEEK STATS:
Size of baby:  6lbs, 10 oz (though the doctor said this could be +/- 15%)
Labor watch:   I’m still 90% effaced, 0/+1 station, but 0cm dilated.   It is kind of discouraging that I’ve made no progress in the last 2 weeks, but the important thing is that everything looks very healthy—baby is in perfect position, amniotic fluid levels are great, blood pressure is excellent.   I have been having a ton of contractions, especially in the evenings, but apparently they don’t mean anything until they start coming in regular intervals.     
Total weight gain: +25 lbs
I feel ready!  Every day I wake up wondering if today is going to be our daughter’s birthday.  Everywhere I go, I wonder if it would be a good or bad place to go into labor (it’s almost always the later) and what my escape route would be in that case.    Brice does not leave me alone much, but when he does, he has his ringer on extra loud, and we aren’t venturing far from the house at all.  Although we are “on alert” we are still trying to really embrace, relax and enjoy this time.   I’m still working (1 more week), going to the gym, spinning (the whole spinning class cheers for me every  time I show up), cooking, taking Dakota on walks, driving (loving our new Prius that we picked up on Saturday), and a few weeks ago I stopped going to regular yoga and started going to pre-natal yoga which has been fantastic.   I’m really enjoying the long, deep stretches and breathing exercises that we are doing.   When I went several months ago, it was a little boring for me, but now I am much more challenged and getting a lot from it.   There is a Baby and Me Yoga class that I can do after with LL as well!   She’s definitely already practicing some yoga poses already. 
I am feeling a wide range of emotions. 
Excitement.   Of course, no emotion is greater than excitement and anticipation right now.  I find myself sitting in the finished nursery, imagining reading books to her, putting her down to sleep, picking out an outfit from the abundance of adorable clothes, watching her height creep up on the growth chart, playing with her toys.   I think about all the things that I want for her—most importantly, health and happiness.   I cannot wait to meet her and nurture her growth and development.   I cannot wait to see what kind of personality she will have.   I cannot wait to introduce her to our family and friends, who already love her so much.  I cannot wait to tell her how much we love her and that we will always take care of her. 
Self-doubt/Panic/Fear.   I do feel slightly panicked about labor and delivery.  Not knowing how or when it will happen gives me the most anxiety, especially for someone that is not used to having absolutely no control of a situation.  My only “birth plan” is to go in with an open mind and a common goal, which is to deliver a healthy baby.   Of course I have more long-term concerns about if I will be a good parent, how I will balance my career and being a mom, how we will raise a child to be good, kind and honest, etc.   However, I am most comforted knowing that Brice will be by my side every step of the way, and I have never doubted for a second that he will be the most amazing father.          

Monday, March 14, 2011

Nursery Reveal!

We spent most of the weekend putting the final touches on the nursery and bathroom.  We are so happy with how everything has turned out.  We put a lot of love and thought into every detail and so many generous and special gifts from so many people.  Now we just need the baby!  

First, some BEFORE pics...








Come on in...



My mom made this mobile from origami cranes: 

This shadowbox holds one of my dresses when I was a baby and also my first pair of shoes! 
My mom also made these basket liners and pillow cases: 
We love this hand made growth chart, although we are not holding our breath for our daughter to reach the 6ft mark! 

The bathroom....  We finally can make use of this gigantic bathroom!  The changing table station, diaper pail, hamper, bathing station, etc. will all go down in here.   Brice did all of the painting himself!  )


Behind the scenes: 

Wednesday, March 9, 2011

36 weeks

How Far Along: 36 weeks 

Size of Baby:  According to yesterday’s ultrasound, she is already 6lbs, 5oz.   I did not weigh much more than this when I was born! 

Total Weight Gain/Loss:  +24 lbs

Doctor’s visits:   We started our weekly appointments yesterday and I had my first internal exam.   Dr. Serden was very pleased with how everything looks.   From this point on, there are 3 key points that the doctor will measure:  dilation (0-10cm—0 means the cervix is closed, 10cm means fully dilated and ready to push), effacement (0-100%- this is the thickness of the cervix—needs to be 100% to push) and position/station of baby in my uterus as she travels down (-5 is baby floating, 0 is at the pelvis/top of birth canal, +5 is crowning).   The goal is to get to 10cm dilated, 100% effacement and +5 station.   Although this all sounds highly technical, and despite all of the advances in modern medicine, there is still no exact science to this to tell us when she will come.   I can walk around for weeks with varying degrees of dilation and effacement.   Nature will take its course, and she will come when she is good and ready (although I would likely be induced at 41 weeks if she is not here by then). 
I am currently 0cm dilated, however I am already 80-90% effaced and she is already in the +1 station—meaning she is already very, very low and rapidly thinning my cervix.  The doctor said that this did not necessarily mean an EARLY delivery, but it did bode well for an EASY delivery, which is great news (although “easy delivery” seems like an oxymoron to me).  Her low position is good and bad—it is good because she is already in great position for delivery and making her way down.  It also explains why my belly has looked smaller (although seems huge to me).  The bad is just the added discomfort to me of her bearing down on my pelvis and bladder.   Amniotic fluids and all of her measurements look fantastic.   The doctor is also very pleased with my blood pressure (114/72) and weight. 

Symptoms/Feelings: 
All things considered, I’m feeling good.  I’ve been told that the last month is the hardest, and it is definitely very hard and uncomfortable, but I am trying to stay positive, RELAX and enjoy every moment with Brice and Dakota before our next adventure begins!   We are having so much fun preparing for our baby—as we put away her books and toys, we talk about what it will be like to read stories to her at night or what occasion she might wear a certain dress.   But as busy as we are with these preparations (and many other less fun preparations, like filing taxes, handling electrical work, getting the carpets cleaned), we are also trying to make time for ourselves and go to nice dinners, go to spinning class together, hang out with friends, enjoy long walks with Dakota and watch movies.                  

Health/Exercise:  It was a great decision to retire from running—the Round Ligament Pain has noticeably decreased.  I’m still walking (every day), going on the elliptical (1x/week), spinning (2x/week) and going to yoga (1-3x/week).   I’ve been using some of the prenatal workout DVDs at home, which aren’t very challenging, but still good. 
Eating has become more difficult.  My appetite has actually decreased, and I just don’t have very much room in my stomach anymore as all of my internal organs are a bit smashed.  I am having small meals and snacking throughout the day.  Overeating at this point is extremely painful.    

Preparations/accomplishments: 
We’ve been so productive! 
-          We took our hospital tour last week.   After seeing where we would be checking in, all of the hospital equipment, women in labor, and, best of all, the nursery, everything became a whole lot more real.   I am not sure if the tour added to my excitement or my anxiety…. Probably a bit of both.
-          We had our infant car seat installed.   It is so strange to look in the backseat and see a carseat there!   We would not be released from the hospital without it, so I’m relieved we took care of it. 
-          We put together 2 strollers—our awesome BOB Revolution jogging stroller (and infant car seat attachment so that we can use it right away, rather than wait the 6 months that is suggested without the infant car seat) and the Snap N Go, which is a stroller frame that the car seat snaps into.  Brilliant!   We also cleaned out the front closet to store these strollers. 
-          On the advice of the dog trainer, we started putting together a lot of the toys/equipment so that Dakota can start getting used to their sounds and presence.  We put together the Sleeper/Rocker, Cradle Swing and activity mat.   Dakota has shown no interest whatsoever in any of these, however she is dying to get her paws on the Sleep Sheep and Manhattan Whoozit toy.  Interesting… 
-          We registered for Cord Blood Banking.   After a lot of discussion and research, we went with StemCyte for a variety of reasons.   We hope that we will never have to use it.    
-          We started using and got our first lesson on our SLR camera!   We also got a small video camera and started using it as well.   I’m so impressed with the camera.   Even in the automatic mode and just point-and-shooting, the quality of pictures is noticeably better.  
-          A lot of progress has been made in the nursery and bathroom, but I am waiting until everything is complete so that I can post pictures of the final product.    
-          Our good friends, Darren and Benita, just had a baby in November.  They had us over to watch and participate in Rylan’s whole evening routine, since reading and hearing about what to do is entirely different from actually doing it.   We got to participate in 2 diaper changes, activity mat time, rolling over, bath time, bottle feeding, burping, bed time, and of course, 1 full blown melt down.   Fortunately, not even the meltdown scared us. 

Monday, March 7, 2011

Shower!

We had another AMAZING shower, hosted by “aunties” Angie, Joanne, Victoria, Stephanie and “great auntie” Barbara.  It was absolutely amazing—the theme was books and candy (obviously, these girls know me well).   There was an incredible candy bar with all pink, red and white candies, there were nursery rhymes everywhere, centerpieces were made from baby books and flowers….  The food was delicious (I was too busy devouring it to take any pictures of it), especially the carrot cake and red velvet cake cupcakes (again, these girls know me well) that Angie made from scratch.   We received so many incredibly generous and thoughtful gifts.   We feel so loved and supported as we embark on this incredible journey!   

Pre-shower pics at our house:

The candy bar!  I actually saw it from a block away as we were pulling up and was just praying it was for my shower! 
The amazing hostesses:  Barbara, Victoria, Stephanie, Angie and Joanne
Grandmas! 
Aunt Erin
Grandmas and Aunts:
The crew:
YUM! 
The grandpas! 
Our BOB stroller!!!  Yes, Brice is super excited!

Tuesday, March 1, 2011