Getting Ready
The night between June 30 and July 1st was probably one of the longest in my entire life. I couldn't sleep. I didn't really feel afraid, just anxious. As I've mentioned I'm not very good at waiting. At 3:30 in the morning I got up and ate some toast and a bowl of cereal and chugged a big glass of OJ and some water as I wasn't allowed to eat after 4:00 am. Mostly, all this accomplished was making my nervous stomach upset and grumbly. Somewhere in the very early dawn hours I think I finally fell asleep for a little while, and then I awoke at around 8:00 am.
I got up, and took a shower. Matt played video games. I shoved more and more crap into my suitcase, just in case and Matt played more video games. At 9:00
I am Legend came on HBO and since I have never seen it I became really engrossed and I didn't want to have to leave. But, before I knew it, it was 9:30 and we were loading up the car and heading to the hospital.
As soon as we checked in a very nice and patient nurse took us to our room. She showed us where to put our things. I got changed into my hospital gown and other garb and then once I was in bed she put in an I.V. The doctor wanted me to take in a whole bag of fluid before the surgery ever began. Mostly this just made my arm cold and meant I had to pee about 12 times in those 2 hours before the surgery. Time moved slower than I ever thought possible. Matt grew very nervous as they explained to us all that was going to happen and eased his mind by asking thousands of questions. He learned from the nurse not only all the pertinent details of the upcoming procedure but also the inner-workings of the I.V. machine, the blood pressure monitor, and the machines which were monitoring the contractions and the baby's heart beat. I can't actually believe that the nurse was patient and kind enough to explain all of it to him.
At about 10 minutes til 12 Dr. Ramseur came in to do a quick ultrasound and verify that the baby was still breech.
Before we knew it the clock said noon and Matt and I found ourselves sitting alone, still in my room, waiting.
Then everything started to happen very quickly.
Pre-Op
About 5 minutes after 12 the nurse brought in this ridiculously tan, bushy headed blond and pretty good looking surfer type dude in off-purple scrubs. She introduced him as the anesthesiologist. He shook my hand very firmly and then continued to hold on to it tightly for several minutes while he leaned in a little too closely and explained his side of the procedure to me. I have no idea what he said. All I could think about was
"Why won't he let go of my hand?" and
"Gosh he's leaning in close to talk to me!" and
"Oh my he is sort of cute... teehee... how on earth can he be talking to me this closely in front of my husband when I'm about to have a baby."
Then he went away again. Matt and I both looked at the nurse as if to say "Is he for real?" and she just sort of shrugged and said something about how he is older than he looks. Apparently he'd taken off several years to surf before going to medical school. Go figure.
The nurse told Matt to put on his funny shower cap and bath robe and follow me as she walked me and my new I.V. rolling-tower-friend to the operating room. Matt was told to wait outside with one of the nurses while I went on in and got set up. Once everything was ready he'd he allowed to join me.
The operating room was bright and stifling. The lights in there were so powerful the made the dull colors of the doctor's and nurses scrubs come to life and the metallic instruments shown blindingly and everything seemed very surreal. Several more nurses were introduced to me. Once in particular, a teeny little woman said
"Hi, Jennifer my name is something or other and since you'll be numb and won't be able to, I'm going to help out Dr. Ramseur by pushing your baby out for you today." Then a very nice, soft spoken nurse who I would soon come to love intimately for the lovely care she gave me, came in and said she was going to be my nurse for the rest of the day. She helped me onto the table and then held my shoulders while I tried my best to slouch over appropriately as the surfer dude Doctor took care of the epidural.
The Surfer Dude Doc told me to lean forward in a curved shape and push my lower back towards him. Not a very easy thing to do with an enormous preggo belly, let me just tell you. The nurse held my shoulders and I tried very hard to keep still, and breath and ignore the fact that the surfer dude was now face to face with my exposed butt cheeks just a few inches below where he was working. He told me as he made some marks in ink, then he told me as he cleaned the area. He told me as he put some sort of protective cover over my back and gave me a shot of some sort of local numbing agent. (I felt that bit go in as very quickly a hot and heavy sensation moved from the pricking spot towards my butt crack.) Finally, he told me from then on all I'd feel would be pressure. I felt this pressure for several more minutes while he tried to get the needle in. The nurses meanwhile were giggling in the background about someone having a mild shake in their hand. My eyes bugged out a little thinking they were talking about the Surfer Dude Doc who was about to stick a needle into my spine and then everyone assured me they were just talking about Dr. Ramseur being a perfectionist and always having to line up his dots perfectly when closing a patient. It did occur to me to wonder whether or not the Doctor, who was about to cut my baby out of me, did indeed have a shaky hand.
Eventually the Surfer Dude Doc asked for a smaller needle and finally got the epidural in and I quickly was laid out on the table while the feeling drained out of the lower 2/3 of my body.
All vanity or modesty I might ever have felt evaporated as they put in the catheter and set me up in the correct position for surgery. Meanwhile Dr. Ramseur was bouncing around the room with a smile under his mask going on about how we were going to have a birthday party and how much fun it was going to be. Then he started started drawing marks on my lower tummy, the nurses splayed my arms out on either side of me and a plasticy sheet was erected in front of my face to protect the sterile area and also block our view of the proceedings.
I started to freak out. Matt as still outside. The only other person on my side of the tent was the surfer dude and the view blocking sheet was hanging about an inch in front of my nose. This combined with the rubber oxygen mask on my face was making me feel COMPLETELY claustrophobic and I started to cry. (No sobs or anything, just tears.)
The Surfer Dude Doc tried to stretch the screen sheet a little further to get it off my face, then Matt came in, grabbed my left hand, took a seat beside me and they got started.
The Cesarean Section
Going into it, I felt that I had a pretty good idea of what to expect. I'd talked to many people who'd had their babies via C-Section. I'd talked to several doctors and one fourth year-med student about the procedure and what was going to happen.
In reality I had no idea.
I heard a doctor or a nurse or somebody say that I'd feel the pressure as the initial incision was made. I did and it was, okay. I kept right on weeping and trying to look at my very blurry husband (who had my glasses in his pocket because they wouldn't fit over the oxygen mask) and tried to remember to keep breathing. The "pressure" continued as the doctor worked through the layers to get to my uterus. Several people had told me what these layers were, but I can't remember any of them besides "skin" and "uterus" nor can I even remember exactly how many there are supposed to be. Then I found myself wondering why anybody would ever call the feeling I was having down there "pressure" because from my perspective it felt a lot more like "pulling" or "tugging."
Pulling and tugging my guts out to be exact.
The surfer dude doctor, who I suddenly noticed did indeed have surf boards on his surgical cap, was sort of narrating and rubbing my forehead right along with Matt. Matt, told me later he was gently rubbing Matt's shoulder as well. Apparently, the Surfer Dude Doc is also very sensitive.
Suddenly I heard Dr. Ramseur say "I see toes!!" and then to me louder, "Jennifer, I think we were right about it being a boy or else those little round things between his feet are going to be a real problem." (The doctor told me later, in the womb the baby had his feet tucked under his buttocks and crossed around his little scrotum. How, um, lovely.)
Things went on, the tugging sensation grew worse and worse and I just tried to keep breathing. I kept thinking about how this was definitely not the pain free procedure I'd heard described to me. (In retrospect I do realize that most of the women I'd talked to did not have breech babies.) I heard words like "push" and "hang on" and "turn him" get thrown around and at some point in there the whole table was shaking as whatever it was went on down below the privacy screen. I think it was the doctor tugging. Tugging hard. I started to feel sort of woozy and dizzy and the chaos went on for while longer before the I heard Dr. Ramseur say "He's Out!" and then the Sensitive Surfer Dude Doc started whispering in my ear about what was going on again.
"They've put a mask on the baby to help him breath and that's why you don't hear him crying," he told us, "its not that he isn't crying its just muffled by the mask." A few moments passed. "They're just working on him and trying to get him cleaned up and warm so you can see him." Matt bravely peeked around the screen to the corner where the baby warmer was located, but told me he couldn't see the baby because there were nurses and doctors surrounding him.
Honestly, at the time, I can only remember thinking that I wished I cared more. I was feeling a lot of pain and I just really wanted the whole thing to be over. I tried to listen for the cries or the APGAR scores but my attention span wasn't really holding.
Side note:
Two days later, before the circumcision, I asked Dr. Ramseur about those scores and got the rest of the story there. (Well, technically, some of this he told me in post-op, but for continuity's sake, let me just put it all here, now.) Apparently, when the nurse tried to push so that Dr. Ramseaur could pull the baby out he was stuck. His hands were up near his chin and both together they kept catching on, I don't know, something. With some difficulty they were able to unstuck the hands and chin only to find the cord wrapped, TWICE, around the baby's neck. After unwinding the cord, he was finally able to take the baby out. However, after the "trauma" (that might not be the best word) of all the pulling and tugging the baby had been sort of "depressed" and was basically unresponsive upon making his entrance into the world.
The mere thought of this, kills me now. But, basically, Dr. Ramseur explained it like this: You know how when a baby animal gets picked up in its mother's mouth (think Tiger cubs) it just goes limp to avoid getting hurt. This is what happens to a baby in childbirth. When a contraction happens their hearts slow, and they go limp and almost lifeless to prepare to get pushed out and not get hurt. But in childbirth the contractions and the pushes are spaced out. In our case I was having contractions making him go limp already... then the doctor was trying to pull him out, relaxing his system and then on top of that there was the cord... all of which caused him to relax, for a little to long, and a little too much.
Thankfully, babies are resilient and he was "easily" revived once they got him over to the warmer and did their thing. (What they did, I don't know, because I haven't spoken to the pediatrician about it.)
Matt reminds me that lots of babies enter this world in less than perfect condition and turn out absolutely perfect. Obviously I'm pretty convinced my own son is now living proof of this. But the mere thought that for even a few moments he was not 100% after birth, scares the bageezus out of me. Especially as I look at him laying beside me now.
Anyway.
During the time that they were, um, getting him to cry, my own Doctor was starting to stitch everything back up and the Sensitive Surfer Dude Doc told me he was going to give me something to make my uterus contract. The resulting cramping feeling literally made the room start to go fuzzy for me and this was when I finally heard my child cry out. Somewhere in there I heard a nurse yell out that the baby was peeing (on the pediatrician) and then a moment later the pediatrician FINALLY brought the baby to us. The doctor, who looked something like Jim Henson with his mask on over his full, grey beard... or maybe a very tall Papa Smurf... brought him over all bundled up in blankets and there was this little, perfect pink face with enormous dark blue eyes staring at me from underneath a ridiculous pink and blue striped hat. I tried to remind myself that this was a moment I'd long been dreaming about and looking forward to. "Tried" being the key word there. I looked at him and pretty much thought to myself "Alrighty then" and went on about my business of feeling like complete crap. Matt tells me I said he was cute, or something, but I have no memory of that at all. My memory is too busy remembering that at that point the baby was being taken to the nursery and Matt (under my own orders) was to go with him. Trouble was I didn't want Matt to leave ME. I didn't stop him though, I forced myself to think sensibly about who needed him most, kissed him goodbye through his surgical mask and suddenly found myself to be very alone.
Alone except for the team of Doctors and Nurses doing their thing and of course, my Sensitive Surfer Dude Anesthesia Doc. The room was literally spinning and I told him I felt like I was going to pass out. He pulled my I.V. Arm away from my face where it had been the entire surgery as Matt held my hand and told me that would help the medicine get through. It must have, because before long I started to really feel like vomiting instead. For this I was given some other medicine and left to lie on the table feeling crampy and in agony. All I wanted was to be able to curl up into a ball and lay on my side (as per my normal response to cramps) but of course I could not. I distracted myself by listening to the nurses count and recount tools and sponges. I tried to count the little clicks as Dr. Ramseur stapled up the incision and rejoiced that the whole thing was almost over. I started thinking about whether or not I'd forget how terrible the whole thing felt as any mother will tell you that you do.
Then suddenly the the tent was coming down. The blanket over my chest and neck disappeared and the heart monitor stickies were pulled off. There was counting and someone telling me about how I was going to feel like I was falling as they shifted me back onto a bed and then suddenly the bright lights were fading and I was being wheeled out, into the hall and then into a small recovery room. Somebody made the bed sit up a little and I immediately felt at least a thousand times better. Dr. Ramseur was there before long and he told me that the baby was stretched out in the nursery sucking on the back of his hand while they did their thing with him. Matt came in next and then before long they brought the baby to me.
The events of the operating room and all the yuckiness immediately started to fade in my brain. He was just so beautiful. And perfect.
Post-Op
Before I knew it I was having the fantasy meeting with my son that I'd been imagining for months and hadn't had in the operating room. I looked into his big round, dark blue eyes and giggled at how he only wanted to open one at a time. I traced the slope of his adorable little nose. I stroked his teeny tiny little lips and immediately noticed they slant gently down on the right side just like my husband's on crooked grin. I counted his fingers and toes and laughed at the ridiculously small little nails growing on them. I peeked under his funny little hat to find a full head of soft, medium brown hair- still crusted with some of the amniotic gunky stuff. Matt started taking pictures and before long was making phone calls. While Matt was in the hall on the phone, my nurse, who might go down on record as the nicest and most patient person in the history of the world, helped me through my anxiety and fear and got me nursing my beautiful boy.
The rest of my baby's birthday is kind of a blur. After I nursed my son for the first time, and found the process to be surprisingly easy (I think the baby was going easy on me since I was full of issues) they took him away again to be bathed and I was taken to my room to rest and relax for awhile. They brought me the baby soon and he stayed with Matt and I for most of the rest of the day. Because I'd had a c-section and was still regaining feeling in my legs and couldn't really lift my boy on my own they had to take him to the nursery when Matt went home for dinner and for the night to take care of the dog and the cats. That was the hard part, letting them keep taking him from me. I spent the alone time talking on the phone and trying to absorb the day's events. I kept trying to decide if I felt like a Mommy yet. The longing to be near him that I felt every time he went back to the nursery that first night and my absolute inability to sleep without him near me quickly answered that question.
So there it is... the story of the day my son was born.
Now, may I proudly present, Mr. Peter Joseph
(Peter because it is a nice normal name that isn't used much these days, Joseph after my Grandfather and Uncle Joe.
Born, Wednesday, June 1, 2009 at 12:51 pm.
8 pounds, 2 ounces. 20 1/2 inches long
Here I am in post-op holding him for the first time.
Matt was all about holding his son and getting to know him that first afternoon. He's an amazing Father.
Peter had some trouble staying warm but snuggled in nicely once a nurse brought the extra large, warmed blanket.