Happy Birthday Gloria!

My most recent birth was an interesting one. I met Charice when she was 37 weeks pregnant after her doctor suggested that she might be interested in having a doula at her birth. Myself and a fellow doula went to her house to meet with her. We met her and her lovely husband and had a wonderful talk about what it means to have a doula and how we might be able to help her get the birth she wanted. Problem was, she didn't really know what type of birth she wanted. Together we gave her a mini childbirth education lesson and by the end of the visit, she seemed more confident in her birth plans, and excited about the thought of giving birth with a doula by her side. My doula partner and I agreed to work with her and went on our way.

A couple of weeks later, Charice started having contractions. My partner, Silvie, went to her house to help her through the early labor contractions. Silvie said Charice managed them very well which was very good news considering one of her biggest concerns was that she would have an anxiety attack during labor because she was very prone to anxiety. Her contractions started and stopped and ended up being a case of a false alarm. When her due date came and went, the doctor said he would have to induce Charice a week after her estimated due date. That day came and I was on-call. So I met Charice and her husband at the hospital 16 hours after they started her induction.

At this point, Charice had been induced with cervidil (a synthetic prostaglandin tampon inserted to help soften and hopefully dilate the cervix), a folly catheter, and pitocin. Her contractions were about 4 minutes apart and she was handling them beautifully, breathing deep and staying calm. I encouraged her to continue doing this as it seemed to be working for her. She was 1 cm dilated, a slow start to a long labor. I stayed by her side, helping her to remember what she was doing and that she would soon get to meet her baby. Every single person who walked in the room said "have you gotten your epidural yet?" and she just shook her head and kept breathing. At one point, one of the doctors tried so hard to convince her to get an epidural, he said "You know, these contractions are NOTHING, you just wait and you will see how painful it is. I don't know why you're doing this without pain medication." Charice just told him that she was doing fine and kept trucking. I was so proud of her for sticking up for herself! Charice's husband supported her decision to try to go as long as she could without an epidural and held her hand through the intense contractions.

15 hours later, Charice was only 4 cm and not feeling great. She hadn't slept since the induction began and was just exhausted from managing the tough pitocin contractions. The doctors were being patient but things weren't looking like they were going to change. They finally convinced her to get an epidural, hoping that she would get some rest. 30 minutes after the epidural was placed, she had an exam which helped the doctors determine that Charice's baby was presenting ear first, which meant C-section.

A half hour later, Charice's baby girl was born, weighing 6 pounds, 1 ounce. Charice was overjoyed to finally meet her daughter. The new family fell in love right away and are doing great. Charice said she was a bit disappointed that her birth ended in C-section but happy to have a healthy baby. Doctors promised her that a VBAC for her next baby would be a possibility, and I think that put Charice at ease.

Always a learning experience...