I had a normal pregnancy, however, as I was almost 2 weeks overdue my doctor decided to induce me. I was more than ready as I had been very uncomfortable for some time. I suspected the baby was big—the 2 ultrasounds I had to measure the baby were conflicting. One said he was totally average, one said he was large.
I got the call to come into the hospital to start the induction at 6:01AM on Friday, June 1, thirteen days past my due date. They wanted me there at 7:15-7:30AM. So we hopped out of bed, got my daughter up and dressed and brought her to be dropped off with Nick’s parents.
We arrived at Rex Hospital at 7:18 AM and checked in.
About 8:00 AM things started to get busy. Three women came in— one was doing a mobile check-in, one was putting in my IV and one was playing around with the monitors. We were in room 238 and our nurse’s name was Trisha—she was from NY and she was a riot.
At 8:30AM the woman from the blood bank dropped by as we had decided to donate the cord blood. At 8:31 they started the pitocin.
At 10:10 Dr. Tosky came in intending to break my waters, but instead determined I wasn’t really far enough along. I had regressed from my appointment the week before—was at 2 cm and -3 station.
At 12:22 I decided to have the epidural. I wasn’t in a ton of pain, but the contractions were getting stronger and the nurse said there was no reason to wait as I knew I was going to have one anyway. It really hurt as the epidural went it—much more than last time.
At 1:35PM Dr. Tosky came back and broke my waters. There was meconium in the fluid, so they assured us that the special care team would be there when the baby came out.
By 4:40PM contractions got noticeably stronger. Dr. Tosky checked me again and I was at 6 cm and 80% effaced, but baby was still high.
At 5:15 PM the pain started getting bad (even though I had an epidural my bottom REALLY hurt). They increased the epidural.
5:21 PM- 9+cm and 100% effaced, but again, the baby was still high, so they started me on the “rotisserie” (Turning from left side to right side every 20 mins) to help the baby come down. I started on the left side. Was in a lot of pain.
5:32PM Turned to the right side, got a strong urge to push—was still in A LOT of pain.
5:44PM-- 10 cm, tried pushing but it wasn’t productive just yet because baby was still high and we decided to wait another 20 minutes before pushing.
6:12 PM- It was weird, when I was lying on my side it felt like the baby was about to fall out of me, but when I would turn onto my back the sensation would go away… Have I mentioned I was in a TON of pain? The epidural did NOT work as well as it had during my last delivery. Started pushing though.
6:35 PM Dr. Tosky arrived and I continued pushing. It became apparent that the head wouldn’t come out without an episiotomy so I agreed to one—Trish had been trying to stretch me since the beginning, but he just wouldn’t come out. It was frustrating because my contractions started to slow down and so the baby would make progress during a contraction, but then rock back into the canal between contractions. It was so frustrating, and it really hurt. Once I had the episiotomy the head came out in 2 more contractions, but then the shoulders got stuck. It was very scary. Dr. Tosky kept calling for all sorts of people to come in to assist. He had me pushing and pushing without stopping or waiting for the contractions. Because of the meconium in the fluid the baby needed to be suctioned right away, but since he got stuck he wasn’t able to be.
Finally at 6:50 PM the baby was all the way out. He was 9 lbs, 7.3 oz and 20.9 inches long. His heart rate was 115 and he scored 8 & 9 on the Apgar test. I was so relieved when he was finally out, but then my placenta didn’t come out. Dr. Tosky kept trying to massage my uterus, but it didn’t seem to want to come out. It finally did probably 20 minutes later. We weren’t able to hold Josiah or anything because of the meconium situation, and the special care team started caring for him as Dr. Tosky started stitching me up. (Nick didn’t get to cut the cord either because it was somewhat of an emergency situation.) In addition to the episiotomy, I had a cervical tear that he had to repair.
The regular nursery came in to give Josiah a bath and realized his breathing wasn’t normal and whisked him off to the special care nursery. We didn’t get an update for a long time, but when we did, the news was not good. Josiah couldn’t breathe on his own for what was (at that point) an unknown reason. They suspected it had to do with getting stuck and aspirating fluid, but they did mention that “worst case” it was a problem with his heart. An hour later they called Nick back to the special care nursery and told him definitively it was a heart problem and that Josiah would have to be transferred to Duke University Hospital. They rolled me back in a wheelchair to see him briefly while we awaited the cardiologist’s report. It was before he left Rex that we had the diagnosis—“Transposition of the Great Arteries” and learned that he would need open-heart surgery soon.
At about 1:00AM Josiah was finally transferred.
There is a lot more to the story—including details of his surgery and recovery so far—you can follow it here: josiahstephen.blogspot.com .
Phew—that took a while to get out!
What an emotional journey Josiah's birth must have been! You have been so brave! I can't imagine hearing about the heart defect. I bet it was so shocking. I am so very glad that he has done so well! Our (your) ^_^ June baby is so loved. :wub: I hope that the two of you continue to recover quickly.
You are a trooper!! I can't imagine going through all that. I am so glad he's better now.
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