Ethan’s Birth Story by Rebecca Kearns

Posted February 21st, 2012 in Babies, Fresno birth, Fresno Birth Doula, Newborns by Kathryn DiPalma

Ethan’s Birth Story

by Rebecca Kearns on Monday, February 20, 2012 at 12:06pm ·

Before I start this I just want to say how incredibly grateful I am for EVERYTHING that my friends and family have done throughout the last few months to support us, keep us sane, and the incredible amount of prayers and love that has been sent to our little Ethan. There will never be enough words to say thank you or to express my gratitude to all of you. Ethan is here and healthy because of the amount of love, well wishes, positive thinking and prayers that he recieved and I will be eternally grateful to all of you for your support.

SO… as most of you I had been having complications for quite a while and unless you were “in the circle” I realize I was kinda vague about what was going on, Our “birth story” actually began about 10 weeks ago. I woke up one morning in late November ( I was about 24.5 weeks) and was having some pretty severe cramping, I immediately went to Labor and Delivery to get checked out, I was under the assumption it was just really strong Braxton Hicks contractions because I had been having them off and on since about 17 weeks. When I arrived I was placed on a monitor and lo and behold these were NOT “fake” contractions, these were the real deal. They were rhythmic, time-able and coming about every 2-3 mins. I was in Visalia with my mom so I had gone to Kaweah Delta, they immediately transferred me to Community Regional where my perinatologist was, the OB on call at Kaweah Delta had never delivered a 24 week old baby and the NICU was not prepared for a baby that small should he have arrived that early. When I arrived at Labor and Delivery at Community my contractions were literally right on top of each other, I was immediately given fluids, medication to stop the contractions (which it didnt stop them but did slow them down) I was also “examined” (that is as graphic as I will get with this) and it was discovered that I was 1cm dilated and starting to efface, After mulitple exams, two 4D ultrasounds it was discovered that I had what is known as “incompetent cervix” This is where your cervix begins to shorten, funnel, beak or dilate prematurely (usually this doesnt take place until after 37 weeks when your body is preparing for labor. My body however decided to do this 13 weeks early and instead of having just ONE of the issues I was having all of them…. that was what landed me my FIRST of FOUR admissions to the high risk antepartum unit and two months of back and forth until little Ethan arrived….most of you know what happened after that, I bounced back and forth from hospital bedrest to strict at home bedrest. Every week I had a doctor appt with an ultrasound for baby and a special type of ultrasound where they can measure the length of the cervix and monitor it for additional shortening. By the time I was admitted this last time (the second week of January) my cervix had completely shortened and there was no cervical length, I was funneled entirely to the external os and I was 4cm and 90% effaced which literally meant that Ethan could be born ANYTIME and VERY quickly.

Obivously you all know I spent the last month on bedrest so I won’t go into all the details of that but basically I did nothing but lay flat in bed, I was only allowed to get out of bed to walk to the restroom. This was the only way the doctors could keep Ethan “inside” for as long as possible to give him the best chance at survival and decreased health issues once delivered. Throughout the month I continued to contract every 3-5 mins even though I was being given medication that usually stops preterm labor, I had become so accustomed to these frequent and VERY painful (I couldnt have pain meds because any pain meds could actually speed labor along) contractions that the day before I delivered Ethan I didn’t even realize anything had “changed”

So fast forward to Monday Feb 6th, I had a wonderful nurse on Antepartum who had been watching my monitor strip all day and at some point in the afternoon she noticed a distinct change in the contraction pattern. She came in and asked me how I was feeling, I told her I felt the same as earlier. Thankfully she made the decision to call the High Risk OB and have her come and assess me, when the doctor came in and examined what a surprise when I found out I had made additional cervical change. They decided that for “safety sake” they were going to transfer me downstairs to Labor and Delivery and give me the last round of steroids (for baby’s lungs) and monitor me. At this point I still wasnt too concerned because the change was very minimal and I didn’t “feel” any different. Little did I know that less than 24 hours I would be giving birth to Ethan. After arriving on L&D around 5pm I was given the first injection of steroids (it is a two part series given 24 hrs apart) and placed on the monitor. Mike and Sophie came to visit me, we had dinner and then they went home for the night….around 530 am the next morning I awoke to the most painful contractions and I just felt AWFUL…I called for the nurse and she came in to examine me…yeah, turns out I was 8cm dilated and 100% effaced, she immediately called my OB for instruction on what to do, the OB told her to go ahead and let me labor out because at this point there was no way of stopping it or slowing it down. From this moment on everything went SO fast and was kind of a blur until now. The RN asked if I wanted an epidural (UH YES PLEASE) I had Brayden naturally and although it was a good experience it was NOT something I wanted to repeat :) I was just hoping and praying the CRNA would get there in time to place an epidural! I immediately called Mike and I think I just said “Get to the hospital NOW!!” then I called my WONDERFUL doula Kathryn and pretty much told her the same thing. About 10 mins later the CRNA arrived to do my epidural and while he was placing it Mike arrived and then about 5 minutes later Kathryn arrived. Both Mike and Kathryn were amazing during the rest of the process. Mike was so calm and focused and just without a doubt my rock the entire time (not that he hadn’t been that for the past 10 weeks but this was a different feeling, he was defintely in the “daddy” zone) and Kathryn…OH goodness she was my fairy godmother, helping to breathe and focus during the contractions, doing everything she could to make me comfortable, taking pictures and keeping a timeline for me so I would have a physical record of how everything took place. She prayed with us and was a huge emotional and mental support for BOTH Mike and I. Around 1:15pm I told the RN I was feeling ALOT of “pressure”, It was very painful and breaking through the epidural, she examined me and she examined me…she then said I was complete BUT my water hadn’t broken so we were basically just hanging out waiting for that to happen, about 30 mins later at around 1:47pm my water broke and then things REALLY picked up…the NICU team arrived, the standby OR team (just in case I needed an emergency c-section) arrived, and my OB. Around 2pm I started pushing and 4 minutes and THREE pushes later Ethan arrived in this world, screaming mad and fighting which completely took my breath away and made me realize just what a little fighter this miracle was. Mike got to cut his cord which I am so happy for and then the NICU team whisked him away to the stablization room and Mike went with him. About an half and hour later they brought him back in to see me on his way up to the NICU, even though he was SO tiny and had tubes everywhere I could tell that he was STRONG and was going to show us all that he was going to be ok.

And that’s pretty much it….The last 12 days have been a roller-coaster ride, 12 hour days in the NICU with Ethan, the ups and downs, the lack of sleep and exhaustion BUT every single moment is SO worth it and I am so thankful for Ethan’s health and that he has done so well.

Lastly I just want to mention a few people who REALLY made ALL of this chaos a little bit easier….One of my best friends, Cynthia; thank you for being there for me every single moment and listening to me when I was scared. Kelly, the ONLY roommate I ever had who made me actually miss having a roommate when I got moved to a private room and my new friend. I am so grateful I got to meet you and your amazing little Oliver, I look forward to many playdates and mommy dates with you. Lauren, Lindsey and Jenyfer…thank you for the BEAUTIFUL surprise baby shower that was SO wonderful and uplifting…what great “aunties” Ethan has. Kathryn; thank you for EVERYTHING you did, you are truly amazing and you will always have a special place in our hearts. And Lastly BUT defintely not least. My incredible family who has stepped up in SO many ways and supported us throughout this ordeal.

Happy Birthday Lincoln!!

Posted February 21st, 2012 in Babies, birth, Birth Doula in Fresno, Children, Fresno birth, Fresno Birth Doula, Fresno Birthdays by Kathryn DiPalma

Happy Birthday Lincoln!!! You are the sweetest puppy that I know!

 

Happy Birthday Scarlette!!

Posted February 12th, 2012 in Babies, Birth Doula in Fresno, Fresno birth, Fresno Birth Doula, Fresno Birthdays by Kathryn DiPalma

Happy Birthday Scarlette!

What a sweetheart you are!!

Feb. 12, 2012

Following your child

Posted February 8th, 2012 in After Pregnancy, Birth Doula in Fresno, Children, Fresno birth, Fresno Birth Doula, Motherhood by Kathryn DiPalma

We will find a book or article on almost any subject anywhere that we look.  We will find parents and well meaning adults who think they have the answers for how you child should be developing.  This can be challenging determining what is right for your child.  When I read this from Rebecca Thompson, I knew that I needed to pass it on to you

Optimal development is about allowing the unfolding of the child.  It isn’t on your time table or an author’s time table in a book you’ve just read, but rather it is about allowing your child to develop at the rate that is right for her.  You may find this challenging, because many children do not follow the charts indicated in parenting books.  Let go of the numbers in books and focus on the child you have right in front of you.  For example, most babies are not sleeping through the night at 3 months, like many parenting books suggest, but much closer to 2 or 3 years when the part of their brain responsible for regulation of sleep has developed.  Follow your child and let go of your own interpretation of what normal is.

©Rebecca Thompson, 2008
The Consciously Parenting Project

http://www.consciouslyparenting.com

The Consciously Parenting Project

5 Ways Pitocin is Different than Oxytocin

Posted February 6th, 2012 in Birth Doula in Fresno, Fresno birth, Fresno Birth Doula, Inductions by Kathryn DiPalma

I  love reading all things that have to do with birth. I found this great article today on :

About.com

 

The numbers of inductions of labor using artificial means like Pitocin and other medications has gone up dramatically in the last few years. A hospital in my area says that 90 of the women have their labors induced. Since science shows us that inducing labor can increase the numbers of complications in the labor and with the baby, you might be surprised to note that many of the inductions are not for medical reasons, but rather reasons of convenience, practitioner or mother, known as social induction.

One of the things that women tell me is that they are lead to believe that induction is completely safe and relatively easy, after all, Pitocin is just another form of the body’s own oxytocin, right?

While this statement is generally true, artificially created hormones, including Pitocin do not act identically to the hormones in ones body. For example, in pregnancy both the mother and the baby produce oxytocin. The oxytocin produced by each reacts differently in the body because they each have separate jobs.

Here are five things that you may not know about Pitocin and how it can effect your labor:

  • Pitocin is released differently.
    Oxytocin is released into your body in a pulsing action. It comes intermittently to allow your body a break. Pitocin is given in an IV in a continuous manner. This can cause contractions to be longer and stronger than your baby or placenta can handle, depriving your baby of oxygen.
  • Pitocin prevents your body from offering endorphins.
    When you are in labor naturally, your body responds to the contractions and oxytocin with the release of endorphins, a morphine like substance that helps prevent and counteract pain. When you receive Pitocin, your body does not know to release the endorphins, despite the fact that you are in pain.
  • Pitocin isn’t as effective at dilating the cervix.
    When the baby releases oxytocin it works really well on the uterine muscle, causing the cervix to dilate. Pitocin works much more slowly and with less effect, meaning it takes more Pitocin to work.
  • Pitocin lacks a peak at birth.
    In natural labor, the body provides a spike in oxytocin at the birth, stimulating the fetal ejection reflex, allowing for a faster and easier birth. Pitocin is regulated by a pump and not able to offer this boost at the end.
  • Pitocin can interfere with bonding.
    When the body releases oxytocin, also known as the love hormone, it promotes bonding with the baby after birth. Pitocin interferes with the internal release of oxytocin, which can disturb the bonding process.

Your body’s own natural oxytocin is superior in many ways to Pitocin. There are also ways to increase the release of this natural oxytocin including skin-to-skin contact, lovemaking, breastfeeding, and others.

So, if you are presented with the option of an induction of labor, you might want to ask your provider about whether or not it is being done for a medical reason or if it’s something that a bit of time and patience will help alleviate.

 

Sources:

American College of Obstetricians and Gynecologists [ACOG]. (2004). ACOG Practice Bulletin No. 55: Management of postterm pregnancy. Obstetrics and Gynecology, 104(3), 639-646.

Glantz, J. C. (2005). Elective induction vs. spontaneous labor associations and outcomes. Journal of Reproductive Medicine, 50(4), 235-240.

Kramer, M. S., Rouleau, J., Baskett, T. F., & Joseph, K. S. (2006). Amniotic-fluid embolism and medical induction of labor: A retrospective, population-based cohort study. The Lancet, 368(9545), 1444-1448.

Leaphart, W. L., Meyer, M. C., & Capeless, E. L. (1997). Labor induction with a prenatal diagnosis of fetal macrosomia. The Journal of Maternal-Fetal Medicine, 6(2), 99-102.

March of Dimes. (2006). If you’re pregnant: Induction by request. Retrieved May 15, 2007, from www.marchofdimes.com/prematurity/21239_20203.asp

Sanchez-Ramos, L., Bernstein, S., & Kaunitz, A. M. (2002). Expectant management versus labor induction for suspected fetal macrosomia: A systematic review. Obstetrics & Gynecology, 100(5), 997-1002.

Vahratian, A., Zhang, J., Troendle, J. F., Sciscione, A. C., & Hoffman, M. K. (2005). Labor progression and risk of cesarean delivery in electively induced nulliparas. Obstetrics & Gynecology, 105(4), 698-704.

Vrouenraets, F. P., Roumen, F. J., Dehing, C. J., van den Akker, E. S., Aarts, M. J., & Scheve, E. J. (2005). Bishop score and risk of cesarean delivery after induction of labor in nulliparous women. Obstetrics & Gynecology, 105(4), 690-697.

5 Quotes to Remind you not to Induce

Posted January 27th, 2012 in birth, Birth Doula, Birth Doula in Fresno, Fresno birth, Fresno Birth Doula by Kathryn DiPalma

5 Quotes to Remind You Not to Induce

by Birth Without Fear on November 15, 2010

“We can make a woman have contractions, but we don’t always succeed in forcing her body to release the baby and give birth. If we start a labor with chemicals, we may very well have to finish it with a surgeon’s scalpel.” – Gail Hart, Midwife

“Inducing tends to create longer, more difficult, more painful births in general, and it ups a woman’s chance of having a c-section by two to three times.” – Jennifer Block, Author of Pushed

“I firmly believe that mothers are not informed enough to know that this [labor induction or augmentation with Pitocin] is not a good idea, and that any woman who has the right information would not want to have her baby induced.” – Kathleen Rice Simpson, PhD, professor of nursing at St. Louis University School of Nursing

“French obstetrician and author Michel Odent, also a critic of the induction ‘epidemic’, as he calks it, argues that labor begins when the baby is ready to be born. Odent likens gestation to apples ripening on a tree: ‘You wouldn’t pick them all on the same day, would you?’ ” – Jennifer Block, Author of Pushed (Michael Odent

“It used to be that a pregnancy lasting beyond 42 weeks was considered ‘post-term.’ But today, inducing on or before 41 weeks is fairly standard across North America.” – Jennifer Block, Author of Pushed

Hip Dysplasia Update

Hip Dysplasia can be avoided by properly positioning  your baby. Please read this important information.

IHDI Educational Statement

Hip Health in baby carriers, car seats, swings, walkers, and other equipment

Summary Statement: The Medical Advisory Board of the IHDI does not endorse nor advise against any particular baby carrier or other equipment. The purpose of this educational statement is to provide information about healthy hip development to guide manufacturers in the development of safe designs of infant equipment, and to help parents make informed choices about the devices they use for their babies. Parents and caregivers are encouraged to choose a baby carrier that allows healthy hip positioning, in addition to other safety considerations. When babies are carried, the hips should be allowed to spread apart with the thighs supported and the hips bent.

Please read the entire article at:

http://www.hipdysplasia.org/Developmental-Dysplasia-Of-The-Hip/Prevention/Baby-Carriers-Seats-and-Other-Equipment/Default.aspx

Car Seat Positioning

Not Recommended:

Tight car seats prevent legs from spreading apart.
Better:
Wider car seats provide room for legs to be apart, putting the hips in a better position.

Baby Harnesses

Not Recommended:

Thigh NOT supported to the knee joint. The resulting forces on the hip joint may contribute to hip dysplasia.
Thigh is supported to the knee joint. The forces on the hip joint are minimal because the legs are spread, supported, and the hip is in a more stable position

Baby Slings

Not Recommended:

Baby carriers that force the baby’s legs to stay together may contribute to hip dysplasia.
Better:

Baby carriers should support the thigh and allow the legs to spread to keep the hip in a stable position.

have you thought about Havig a Doula at Your Birth?

Posted January 21st, 2012 in Birth Doula, Birth Doula in Fresno, Fresno Birth Doula by Kathryn DiPalma

Have You Thought About Having a Doula at Your Birth?

by Penny Simkin

The journey through birth is unpredictable and stressful, and even well prepared women or couples, when in the midst of intense labor, often find it difficult to apply their knowledge. It helps to have guidance and reassurance from experts, to help you relate the intense physical sensations and emotions of labor to what you already know intellectually. Your nurse, midwife, or doctor will offer some guidance, but may be limited by their clinical duties and the needs of other laboring women in their care. To be sure you will get the kind of help you need in labor, consider having a birth doula.

Delayed Cord Clamping By Penny Simken

Penny Simken Delayed Cord Clamping

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A Mother is born…

Posted January 18th, 2012 in Birth Doula in Fresno, fresno, Fresno birth, Fresno Birth Doula, Motherhood by Kathryn DiPalma
The moment a child is born, the mother is also born. She never existed before. The woman existed, but the mother, never. The mother is something absolutely new.
—Osho, Indian mystic and spiritual leader