Birthrites: Healing After Caesarean.

Sam's Birthday

Friday, 10.45pm two days after my due date, I informed my husband that my waters had broken with the now immortal words "I think something's happening in my pants." Monitoring at the hospital showed my uterus was tightening but as I was in no pain, they were not considered contractions. They confirmed my waters were leaking but were reluctant to do an internal due to the risk of infection. I went home excited but disappointed that my doctor was away and that I didn't know if I was dilating or not. At home I was encouraged by a small show.

Saturday was spent alternately walking and resting to get things going. I felt alot of tightenings and period-like cramps and prayed that the painless contractions were doing something. Back to the hospital in the evening to find out that the contractions were not regular and I was not considered in labour yet. I still couldn't get an internal examination. We decided I should stay at the hospital for rest and further monitoring. I had some sleeping tablets and was told to ignore the cramps and try to rest.

The back aches and cramps couldn't be ignored after 2am but the contractions were erratic. At 8am a shift change and the lovely Lynda came back and did an internal to find I was only 1-2 cm. How disappointing! I had some pethidine and told my husband to come back in 3 hours while I rested. Then we started walking around the hospital to get things moving - very different to the baths I had planned to take at home. By 3pm I was huffing and puffing on the bed. An internal showed I was 3-4 cm - what slow progress - and that the bag was still intact around the baby's head effectively slowing the dilation. Lynda broke the forewaters, I went to 5cm and was so happy I could move to the delivery suite, I practically ran there.

Another shot of pethidine and gas and I was all set. I leaned forward on a bean bag on the bed and didn't move for 7 hours! Hubby managed to watch the cricket and read magazines in between rubbing my back and wetting the sponge I was sucking on. So much for the spa baths and showers. Contractions were 2-8 minutes apart and by 5.30pm I was 8 cm. At 7pm I was 9cm and wanted to push but had to wait for the last bit of cervix to move out of the way. Contractions were 1-3 minutes apart. Two hours later I was still 9cm and still wanting to push (the hardest 2 hours of it all) but the baby's head was swelling where it was pushing on the cervix causing it to thicken up again. They wanted me to have an epidural and to put a drip in to speed things up. I was so petrified the epidural would take ages and that it wouldn't be working before the drip went in (and the contractions got more painful) that I wouldn't even let them take a routine blood sample until I was numb.

The epidural was high - I couldn't feel my chest - my blood pressue dropped and I had severe shakes. With the drip in, baby's heartbeat starting dropping and I knew I was having a caesarean. I think I was sort of relieved as I probably would have had to have an episiotomy and it's better to have stitches in your tummy if you can help it. Good news was that by now my doctor was back in town. At 11.46pm on Sunday, Sam Li-Xiung was born with a cone-shaped head having been stuck sideways (deep transverse arrest). I was very disappointed to have had a caesarean and it took a few weeks to come to terms with the whole ordeal as I felt so disassociated from the delivery. However recovering from the caesarean was nothing compared to the severe engorgement I had but that's another story.

 

Sam is now a delightful 19 month old and while I would like to have a VBAC next time, I am want to avoid large keloid scars on my perineum.

Best regards
Helena Tosello