On July 19th I had a scheduled appointment with my maternal fetal medicine (high risk) OB, Dr. Silver. Thankfully my parents had driven to our house in Wyoming the day before, so Joel was able to come with me to my appointment. For all my other appointments I just drove there and back by myself (4 hours each way). At this point in my pregnancy I was having major contractions just from standing up and I was in a lot of pain all day and night. I was 37.2 weeks, so I wanted to get my steroid shots and then be induced. The steroid shots are important for me because babies of diabetic moms don't have their lungs fully develop until later on (like 40 weeks) but my babies are always so big by 37 weeks that it would be unsafe to wait until 40 weeks to deliver. At this point Benjamin was already measuring around 10 lbs and I really didn't want another 14 lb baby or another c-section. With JJ, I had a scheduled c-section because of how big he was, but this time around they knew the baby was smaller so I was given the green light for a VBAC. The steroid shots are 2 shots given 24 hours apart, and they tend to make blood sugars go really high so they wanted me to stay in the hospital for those 48 hours.

At my appointment everything was going really well and baby looked great during the NST and ultrasound. Then just as we went in to talk to Dr. Silver, his nurse came in and told us that he had literally just gotten on a plane to go to Washington. What the heck!?! I was even 30 minutes early for my appointment time. It was devastating for me because I thought that Dr. Silver was the only person who would admit me and let me get started on the steroid shots. I did NOT want to drive all the way back to Wyoming and risk having my baby at the tiny hospital in Rawlins with no NICU! I completely lost it and the midwife Sam felt really bad for me (lets be honest, I was a train wreck). Sam called over to L&D and asked if it would be okay for me to start the steroid shots and they agreed. Dr. Silver wasn't there to talk to me or evaluate the baby's size or anything like that, so they just went ahead with my plans for an induced VBAC. Note to self: never use that doctor again. He was the same high risk OB that my best friend used, and he was in Cuba when she needed him to deliver her baby! Why does this guy travel to such random places right when you need him to deliver your baby?! So frustrating.
Everything seemed to be going great until I found out that the nurses would be pricking my finger to test my blood sugar EVERY HOUR for the entire "steroid window" of 48 hours. This was even more annoying to me because I wear a Dexcom CGM that monitors my blood sugars every 5 minutes on a continuous graph on my phone, so it was totally unnecessary to wake me up and prick my finger (with a horribly painful meter from the 80s) every single hour. This should have been my red flag that things weren't going to go well. I was having pretty consistent contractions so they gave me Fentanyl for the pain and it helped me fall asleep immediately, only to be woken up shortly after for another finger poke.

Fast forward 48 hours and I was EXHAUSTED. As soon as the "steroid window" was almost up, they started me on Pitocin. Now that I think about it, this was sort of like if you are planning on running a marathon, but for two days right before the marathon you do a triathlon. In other words, I was completely wiped out before my marathon even started. They slowly increased my pitocin until I couldn't handle the contractions anymore. I think I was dilated to a 4 when I got my epidural. It was about 6am on Friday July 22nd. The anesthesiologist had to come in twice to increase the epidural because it wasn't working on one side of my body. The resident doctor came in and broke my water and shortly afterwards I was 10cm and ready to push. Still exhausted, but excited that maybe this boy was about to make his appearance. I was actually really excited to finally be in a normal labor room and my hopes were high. With the twins I had to deliver in the OR (just in case of an emergency c-section) and then with JJ I went straight to the OR, so I was excited to get a chance to deliver in a normal room this time.
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| meanwhile on the other side of my hospital room...Joel was bored. |
At that point they knew I had aspirated my vomit because I was having such trouble breathing. I was hooked up to oxygen and they called for a chest X-ray to figure out how much fluid I had in my lungs. It was really a blessing that Benjamin was doing fine through all of this. His heart rate was fine even though he was pretty much stuck in my pelvis and I was completely dilated.
I knew I didn't want this choking incident to be the only reason that I got a c-section and the doctors were good about not pressuring me to get one. So they let me wait about 30 minutes while I got breathing treatments and tried to get myself together. Finally I felt better (or as good as you can feel after being awake for 2 days straight and then choking...) so I started pushing again. The resident doctor came in again to check my progress and told me that his face was forward which was why he wasn't coming down much at all. The crown of his head wasn't first like it should be--it was his face she was feeling. She said they were okay letting me continue to push as long as his heart rate was okay, but she wasn't sure it would make any difference and it could be another 2 hours of pushing. Plus, he was so big that he might be stuck in my pelvis anyways. As soon as she said 2 more hours of pushing I knew I was done. I just wanted this nightmare to be over. I told them I wanted the c-section and they all looked really relieved (including Joel, who was totally weirded out that he had to hold up one of my legs every time I pushed haha!). Everyone jumped into action and immediately starting prepping me for the OR. It was crazy how fast they made it happen. I was wheeled back a few minutes later.
I was still very nauseous and so nervous about being on my back again and throwing up. The nice anesthesiologist hit me up with about 5 different anti-nausea meds but nothing seemed to be working. When they finally pulled out Benjamin, I heard a little cry and then it was really quiet just like it was with JJ. Listening to doctors and nurses working on your silent baby is always so surreal. Joel later told me that he was worried when he saw that Benjamin was a little blue. They finally got him to start crying and then wheeled him away to the NICU for his breathing. I don't even remember much after that. I kept falling asleep, even while the doctors were talking to me. I have never in my life been that sleep deprived and I can totally see how that can be used as a form of torture. I fell asleep on the way back to my hospital room and I honestly don't remember much of those first 24 hours. I know at some point I was in a wheelchair and I was taken to see my sweet baby for the first time, but I think it was the next day or night. I remember being shocked how much he looked just like JJ.

Even though my labor and delivery were pretty awful, I'm still really happy with how everything happened because today we have a healthy baby and we are really lucky to have him. I have learned that it doesn't matter how your baby is born as long as everyone is healthy in the end :)




Can't believe he is 2 months old already! We love him so much--JJ probably more than anyone. He is obsessed with his little brother.


















