Baby J will be one month old on Monday – did I mention I gave birth? – and what follows is an account, to the best of my recollection, of the day leading up to his birth. Gentlemen, be warned – I use girly words like “cervix” and “discharge” in this entry.
I had a “routine” non-stress test and appointment scheduled with my obstetrician for the morning of December 1st, at 39 weeks pregnant. Non-stress tests, in general, aren’t really routine, and in my case I was having them done twice weekly because my blood pressure had been creeping higher than my OB would have liked in the final weeks of my pregnancy. But there was nothing unusual about about my test that morning. Two monitors were placed on my belly – one to monitor my uterus for any contractions and one to monitor the baby’s heartbeat – and I reclined in a chair while the monitors recorded hardly any contractions and the expected temporary rise of the baby’s heartbeat every time he’d kick. Things weren’t so rosy in the exam room, though; my blood pressure had spiked over 150/100. And, unfortunately, my cervix had made very little progress toward being “ready” for delivery; my cervix was soft (effaced) but not at all dilated and the baby had still not dropped into position. If I had not been as far along, my OB would have prescribed blood pressure medication and sent me on my way. At 39 weeks, the only “cure” was to deliver the baby; at that point, she was less worried about the baby and more worried that I’d have a stroke if my blood pressure kept going up. After a quick call to the hospital, we were scheduled for a 5-6 pm check-in that evening to begin the process of ripening my cervix for an induction.
We had already packed out hospital bags and stowed them in the car, so the rest of the day was spent in an awkward waiting phase, not really able to accomplish anything. We went out for a hearty brunch, called our families with the update on Baby J’s arrival, and mostly just hung around the house watching the clock. At around 3:30, I decided to take a bath, since I wasn’t sure I’d be allowed one at the hospital because of the drugs needed to ripen my cervix. And at around 4:15, I changed positions in the tub and felt a little squirt. I immediately drained the tub and hopped on the toilet, just to make sure my water had actually broken and I wasn’t simply incontinent, but every time I changed position again I felt more liquid squirting out (and, unlike urine, you can’t just squeeze your pelvic floor muscles to stop the flow). I put on a ginormous “sanitary napkin” and headed downstairs, where I continued to leak. Since we were heading to the hospital anyway, I wasn’t sure if I should call my OB’s office, but in the end I decided to it was better to be safe rather than sorry. The on-call OB told me we should eat a quick, light meal and then head to the hospital – it was showtime!
I figured the pad I had on would be enough, but after a perilous 30-minute car ride (did I mention that morning’s snowstorm?), my pants were soaked. We dragged ourselves and our luggage to the emergency room to check in, and we were escorted up to labor and delivery, where the nurses were waiting for me. Since my water had broken (and the amount of discharge still coming out was crazy), we were no longer going to use drugs to ripen my cervix. But also, since my water had broken, there was a greater sense of urgency to getting the baby delivered; since the amniotic sac had ruptured, the risk of infection was greater the longer the baby stayed in. So, it was decreed that if labor hadn’t progressed on its own by 11 pm, I would be administered Pitocin to get things moving. With nothing to do but wait, I took a bath, read a little, and got comfortable in the delivery room. I had begun to feel contractions – basically strong menstrual cramps – but they were few and far apart. So I wasn’t terribly surprised when 11 pm came and went and I was only 1 cm dilated. My hep lock was inserted and the Pitocin drip began.
My contractions increased in intensity and frequency, but it wasn’t until around 4:45 am when I started having what I would call painful contractions. Because Pitocin is used to stimulate the uterus to contract, the contractions that result can be worse than those of a “natural” labor because the uterus is hyperstimulated. I had intended to try and birth naturally, but I wasn’t opposed to medication – and at that point, I needed something to take the edge off. Rather than jump straight to an epidural, I decided to try intravenous Fentanyl; I would still feel discomfort and pressure, but we hoped the Fentanyl would be enough to dull the contractions to a more manageable level. And for about 15 minutes, that plan worked brilliantly; the first two contractions after the Fentanyl drip began were much smoother. But things went downhill fast, and after a series of increasingly painful contractions – in the words of Amy Poehler’s character in Baby Mama, I felt like I was “sh*tting a knife” – and even a brief vomiting interlude, I paged the nurse and asked for the epidural.
I don’t remember any pain from the giant needle being inserted into my back – I was too busy riding out four mind-numbing contractions while trying not to move. Thankfully, it didn’t take long for the epidural to take effect. And guys – everyone should get an epidural, for everything. It was AMAZING. The fog of pain around me lifted and I could focus on timing the contractions and counting down to the delivery. Which, incidentally, was going to be sooner than anticipated. At 5:30, after the epidural had taken effect, my nurse inserted a catheter (since I was numb from the waist down, there would be no getting up to go to the bathroom). While she was down there, she measured my cervix again – and in 45 minutes I had progressed form 4 cm to 10 cm dilation. It was time to push!
** Word to the wise – try to avoid getting an epidural placed while going through transition. **
I was propped up to make sure the drugs from the epidural all stayed below my waist, and they left me there for a couple hours to rest. Then, at 8 am on the dot, we started pushing. I could still feel contractions, with pressure but without the accompanying pain, and with each one my nurse and Jason held my legs up while I bore down. I was obsessed with pooping the bed; I kept smelling it and turning to ask Jason if I had pooped, and he kept telling me not to worry about it. I did notice my nurse kept removing waterproof pads from the bed and stuffing them in the trash, but I didn’t realize why until, after an hour of pushing, the OB on call came in and said I was bleeding a little too much and they were going to help the baby out.
Y’all – forceps are scary. They look like giant stainless steel salad tongs, and you just have to avoid where and how they’re going to fit, because you can’t imagine that they actually *would* fit – and here is another reason why the epidural is awesome. Once the forceps were removed from their sterilized, single-use packaging, things happened very quickly. There were more nurses standing at the ready, in case Baby J needed extra attention, and the forceps went in, and I felt pressure, and then I was pushing some more, and I gave one big push, and everyone yelled, “Look! Look!” and I yelled, “I can’t see over my belly!” and then my nurse said, “One more push!” and suddenly Evan appeared and he was screaming and covered in blood and mucus and one nurse toweled him off while another suctioned his nose and mouth, and I looked at Jason and he was sobbing and smiling, and they wrapped Evan in a blanket and put a hat on his still-bloody hair-covered head, and then he was on my chest and we were kissing his face and hands and counting his fingers and toes, and he was perfect.
Evan Scott Johnston
Born December 2, 2011 at 9:20 am
7 pounds, 4 ounces
20 inches long



