Friday, August 15, 2008

The Details


I have just finished reading through all of the emails we have received over the past two days and it is an understatement to say that I am overwhelmed. Thank you all for your kind wishes and congratulations; it is really special to know that so many people share in our pride and excitement over Jack's birth.

A number of you have written to me asking for birth details (I think it's safe to say that all of these questions have come from women!). I don't see myself having time to provide those details to everyone individually, so I here provide the timeline of how the labor played out. Feel free to skip this post entirely as it's nowhere near as brief or witty as Mick's posts.

Tues, 5 pm: Receive Cervidil to help prepare my body for the induction.

Wed, 7 am: Begin receiving Pitocin -- am dilated to 3 cm.

Wed, 7 am - 12 noon: Labor is endurable, played cards with Mick & my mom, contractions pick up but I still am able to manage w/out an epidural (as I wished).

Wed, 12 noon: Water is broken -- am dilated to 4 cm.

Wed, 12 noon - 4:30 pm: Labor picks up dramatically in intensity. I continue laboring with no epidural, fully due to the support I received from Mick and my mom (both of whom were fantastic and who, thankfully, were not offended when I snapped at them for rubbing my back or breathing with me). By 4:00, my midwife was sure I was in the transition stage of labor (8cm - 10 cm) because of the way I was reacting to the strength and frequency of contractions. I was kind of in a zone -- shivering/shaking, vomiting, moaning, etc. The pain was intense but I was so proud of myself that I was still without an epidural. My nurse was fantastic; she told me pre-labor that she had 3 kids, all born via Pitocin induction, and that she did not have an epidural for any of them. She was truly my inspiration throughout labor as so many people had scoffed at my goal of having an epidural-free labor with Pitocin.

4:30 pm: Midwife checks me -- she is shocked (as am I) that I have only progressed about 1/2 cm in 4 1/2 hours, particularly given the intensity of my contractions. She tells Mick & I (though I am barely aware of what she's saying b/c I am gripping the bed rails and trying not to give up) that we have 2 options because she thinks the baby's head is too big for my pelvis. We could either keep laboring for a few more hours and see if the baby progressed (which she doubted because my cervix was starting to swell, which is an indication that the baby's head won't descend through the birth canal) or we could have a c-section.

4:35 pm: Mick and I decide to do a c-section so the baby won't be stressed any more than he already has been. Mick is given scrubs, I am told that the anesthesiologists are being called for an epidural.

4:45 pm (approx): Suddenly, everyone is running around and hollering at each other (by everyone I mean the medical team) and my bed is being raced down the hall. I am zoomed into the OR and I hear the OBGYN screaming into the phone that she needs the anesthesiologists NOW because she has fetal distress with a heartbeat of 105 and if she doesn't have anesthesia in 1 minute she is going to call a code. I am alone in the OR with no sign of Mick and all I could focus on was the frenzied pace around me. No one was talking to me and telling me things would be okay. The doctors were not reserving their concern for hushed conversations with each other; they were being VERY vocal about the severity of the situation. Within about 2 minutes, I was being told to breathe deeply as there was no time for an epidural or c-section and that I was going to need a general anesthetic. I was so scared I cannot put it into words. Mick wasn't there to hold my hand - no one was. The last thought I had was that I could very well wake up without a baby. In the meantime, Mick -- in his scrubs -- and my mom were left standing in the hallway with little idea of what had happened so quickly and why Mick wasn't being invited in to the OR.

4:58 pm: Jack William Collins is born and is healthy (Apgar scores of 8 and 9 on a 10-point scale).

7:00 pm: I wake up in recovery and immediately ask if the baby is okay, followed by saying "Oh, crap! He hasn't eaten yet. He must be starving. Bring him to me so I can feed him." (I don't remember any of this -- I was very out of it and have been told I was saying some pretty funny things as I came out of the anesthesia.)

So, that's how the whole thing played out. Obviously, this was the exact opposite of what I had prepared for with the Lamaze, birth plan, and midwife. What was especially jarring about the situation was the span of time in which things moved from a "we should do something in the next few hours" situation to an absolute emergency. Fewer than 15 minutes after I was rushed out of my room, Jack was born. I was told post-delivery that the doctors used staples rather than stitches on me b/c they had no time to sterilize anything because it was such an emergency; should I get an infection, it will be easier to manage with staples than with stitches.

These last few days have been tough for me due to the way Jack was born. It was especially hard for me yesterday as I felt as if I was never going to bond with Jack. I didn't have that moment when I saw my child born, when I looked at my husband and cried as I learned we had a healthy son. Instead, I woke up and there was a baby next to me that people told me was my son. Everything I dreamed about -- delivering Jack, hearing the midwife announce whether we had a boy or girl, looking into Mick's eyes and knowing we had created this little person -- did not happen.

Fortunately, Mick has been patient with my roller-coaster emotions and I am pleased to say that I fell in love last night with Jack. I just needed a little time to feel like he really was mine.

I am about to head off to bed, but am anxiously awaiting Jack's next feeding so I can look at him with that sense of overwhelming love and awe and that I have never known before.

24


A little more than 1 day into Jack's life and he's doing very well, feeding at regular intervals and sleeping a good amount. In fact, when he's not eating, he is very content to get swaddled, lie back, and watch the world go by. So far, he's a pretty peaceful child.

Kelly is getting better and better but will stay in the hospital a few more days to rest. She's been walking around the halls and her appetite has returned. We had our Celebration Dinner last night, a specially prepared smorgasboard of overcooked beef, underseasoned broccoli, and sparkling cider (which we dumped in favor of champagne).

Overall though, the hospital staff have been fantastic and we couldn't ask for more in terms of the post-partum ward--everything is brand new and our room is massive.

Kelly will be home sometime this weekend and primed for sushi and more champagne.

Thursday, August 14, 2008

Welcome to the World


After a long, long day, Jack William Collins was born at 4:58pm EDT. He weighed a whopping 9 pounds 2 ounces and measured 21 inches in length, suggesting that he’ll be an NFL star after he finishes his Economics PhD at Princeton.

Both mother and baby are doing well and safely resting for the evening. Jack has a healthy set of lungs and voracious appetite. Attached is a photo of Jack minutes after his entry into the world.

Thanks to everyone for their good wishes and messages of support.

Tuesday, August 12, 2008

Ready, Steady, Go!

We had our final check-in with Karen, our midwife, this morning. In routine tests, the baby's heartrate was strong, but its movement a little sluggish (like Shergar, the baby tends to sleep all morning and become active towards the late afternoon).

As a precaution, Karen recommended an additional set of tests, one of which found that the fluid surrounding the baby was at a lower level than would be ideal. It was decided that Kelly should be admitted to the labor and delivery unit today instead of tomorrow.

Mary and I spent the day with Kelly as she checked in, got hooked up to various monitors and IVs, and settled down for the night. We will return in the morning to prepare for Kelly to be induced with Pitocin. She is doing remarkably well and is in good spirits.

After many months of waiting, we should soon be parents. Tomorrow will be a climactic day.

Saturday, August 9, 2008

Tired of Waiting

Well, it's now 11 days past my due date, but I'm still not officially "overdue." However, I am definitely ready to have this baby! I am really ready to meet our little one and to see whether he or she has Shergar's mouth (as Mick predicted from an early ultrasound). Also, while I've really hated to complain about the aches and pains associated with pregnancy (aside from the two rounds of PUPPPs, which really did test me), I am now at the point where I just don't think I can take many more nights of hip pain or many more days of hobbling around wherever I walk. But, as I keep reminding myself, if the baby needs a few more days before it's ready to meet all of us, that's okay. Maybe it's taking after its mum (I was 3 1/2 weeks overdue).

I had this song in my head last night as I was trying to fall asleep and it made me smile when I thought of it again today. Truer words have never been spoken!

Thanks to everyone for your support, kind words, and encouragement. Hopefully it won't be much longer!

Thursday, August 7, 2008

It's a....

...beautiful day here in DC; with lower humidity and hazy skies, the weather is perfect for walking the dog, relaxing on the porch, or just hanging out with friends. But I digress...

We have decided to give ourselves more time for a natural delivery and have pushed back the date for induction to next Wednesday, the 13th.

In the meantime, we have our fingers crossed that labor will commence in the next few days.

Sunday, August 3, 2008

Nesting - Everybody's Doing It

Sunday night here and I'm still VERY pregnant. No sign yet of Baby Collins' arrival. We are all just waiting and hoping that the baby decides to make an appearance before I have to be induced on Thursday morning.

My dad arrived on Tuesday night and he and my mom have been extremely busy cleaning every corner of the house, helping with fix-it projects, cooking, and running errands. Here's a picture of my dad using the carpet cleaner; my mom had just finished cleaning the upholstery on both sofas (they don't screw around when they clean!)


On Friday, I read that heavy cleaning often brings on labor. So I joined in with everyone else and cleaned both sides of all the doors in the house with Murphy's Oil Soap. It smelled good and made everything look much nicer.


(While there are no pictures of Mick & my mom, it doesn't mean they haven't been busy around the house; they're just a bit more camera shy.)

I am doing everything I can to encourage the baby to be born: walking, swimming lots of laps, drinking special tea, having acupuncture, trying not to think about it, etc. I think this is probably the first of many times as a parent that I will realize I'm not in control when it comes to my child.

We will keep everyone posted on what's happening. I'm sure a flurry of emails will go around once the baby arrives!

(Note: I think I have figured out how to link to the photos in our Snapfish album. Go to the right side of this page and click on "Photo Album" under "Collins' Links." You may need a room code to access our photos. Just email me (kellyklimek@hotmail.com) or Mick (mickjcollins@hotmail.com) and we'll send it to you. I have added the pictures from my baby shower to the albums.)