Before we get into the gorey details... I thought I would share a final belly pic. This was taken yesterday which would have been 42 weeks!

Here I am with Kacey, how int he world did she fit in my tummy just 3 days before?????

Here is daddy holding her, he has a lot more room for her in his tummy! We think he could have easily carried triplets.

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Ok, now for the birth story. If you do not want to read gorey details then I suggest you stop now. I want to record everything I can remember, even the stuff that I might not
want to really remember!! This is very long............
Monday - We were told to call the hospital an hour before we were scheduled for the induction so we called at 7 and they wanted me to call back in an hour. At 8 I called back and they said it was ok to come in. So we gathered our things and drove on in. It was very odd, I really expected to be driving to the hospital in pain and with contractions. You know, in LABOR! Oh well, this was the beginning of the slope and we stepped onto that slope knowing full well where it could take us.
We got to the hospital and up to our labor and delivery room. Our hospital is a very small community hospital and only has 4 L&D rooms. I got the best one :) It had a big window overlooking the mountains that I could actually see from my bed. The other rooms do not have a view. Maybe the slippery slope birth plan gods were giving me one little thing. As we settled me in, I looked out that window and since it was night I couldn't quite see the mountains but I could see "Touchdown Jesus." What is that you might ask? Well there is a church that has this huge pillar in front of it and at the top is a statue of Jesus with both hands raised to the sky. Unfortunately it is known as the "Touchdown Jesus" It was pretty cool though because they keep it lit at night and I could see it quite clearly. I remember looking at it on Tuesday night in labor as well.
A nurse came in and (please note, this was only one of 2 instances where someone was rude to us. The ENTIRE rest of the stay was really wonderful witht he best nurses I could have ever asked for.) told us that this hospital DOES NOT do cervidil and I would have to do Cytotec. I said absolutely not and she said she would go "see what she could do" Jamie and I were pretty dumbfounded. Wouldn't my doctor have know if they really didn't "do"cervidil? Should we leave and do the induction at the alternate hospital tomorrow? Anyways she came back and made a big deal of telling us that she had to call several pharmacists and get one out of bed to get us the cervidil but she finally found one. And by the way she couldn't insert it, my doctor had to be dragged in to do it. I assured her that my doctor had already told me she would be coming to insert it so that was already arranged. The nurse was clearly put out. I am very happy to say that I don't think I ever saw her again.
My doctor arrived and when I told her what happened she was very surprised and that she had done cervidil there before. Oh well, what's done is done! She did a check and I was 1 cm, about 40-50% effaced and Twiggy at -1 station. She inserted the cervidil at
9:50 pm (I had Jamie start a sheet where we wrote down important times, so glad I did this! How else could I possibly remember?) and left. Jamie hung out for about 2 hours just to see if it happened to cause contractions which it sometimes can. When nothing happened he went home on the promise that I would call him if I felt the slightest twinge. Now don't go thinking Jamie abandoned me! I really pushed him to go. I felt he would get a better night's sleep at home and that I would need all his energy tomorrow. He finally relented against his wishes. So glad he did!!!! I tried to sleep but the excitement was starting to set in and my brain would not turn off. So maybe 3-4 hours of sleep?
Tuesday - My doctor came in around 9 and checked me. I had "progressed" (yeah right!) to about 1-2 cm and 50% effaced. It seemed to me the cervidil hadn't done anything. She assured me it is to soften the cervix and it could still be doing that and it just wasn't measurable. So she decided to leave it in a bit longer. At this point my doula Michele and Jamie were there with me. I felt so bad!! There was nothing for them to do!
10 am - Doctor came back and removed the cervidil, I was a bit more effaced but that was about it. She told the nurse to wait and hour and then start the pitocin. She also did an u/s to see the position of the baby and determined her spine was really low and that was twisting her head a bit and making her head transverse. This comes into play and to just give you advance warning, it meant I was in for the torturous hell known as
BACK LABOR. Hear that? It's us sliding farther down the slope.....
11 am - Pitocin was started at level 1. Michele and Jamie waited around about 30 minutes and then left for some lunch. Clearly nothing was going to happen with me for quite a while. I am not sure when exactly I started getting contractions but it was around lunchtime. Very mild and very manageable. I breathed through them and went to a happy place and was very surprised at how normal I felt when they went away.
12 - The nurse ups the pitocin to level 2. She continues the rest of the day to increase it on a regular basis. Jamie and Michele got back soon after and my contractions slowly started getting stronger. I also had to pee almost every half hour. Since I had the pitocin, this meant I also had an IV and 2 external monitors. Every time I had to pee, we had to unplug the monitors, throw the cables around my neck (so they wouldn't fall in the toilet) and drag the IV into the bathroom with me (hang on to this image, it gets better later!) Several times I had contractions while I was on the toilet. I remember our Bradley instructor saying that alot of people like to labor on the toilet and I definitely became one of them. It was soooooo much more comfortable. I highly recommend everyone trying to go drug free try at least one contraction on the toilet and you will love it! Well as much as you can love a contraction.
As the contractions got harder, Michele started coming into the bathroom with me so she could be my support person during the contraction. I remember at one point asking her when the inhibition would go away because I still was embarrassed at the idea of her in there and I refused to have Jamie in there! She said, don't worry, it will come! and boy did it!!!
3:20 pm - I was laboring in bed and felt something weird and then a trickle between my legs. I told Michele that I thought my water broke and she looked (how many times can you say that you were perfectly comfortable letting your friend lift the sheets and peer between your legs?) she said she didn't see anything. I insisted, she looked again, nothing. Then I felt more running out, she looked again and still didn't see anything. Was I imagining it? All of a sudden a gush came rushing out. This time she looked and finally believed me!!! I was glad to be proven right but then all of a sudden the reality of it hit me. I had another contraction that was pretty strong and heard Michele telling the nurse my water broke. I started flipping out. I got really bad uncontrollable shaking that lasted what seemed like about 15 minutes, this freaked me out even more and I started with the uncontrollable sobbing. From here on out I had uncontrollable sobbing and shaking on a fairly regular basis, at least every couple of hours. That really sucked and was quite scary, especially when a contraction was going on at the same time.
4 pm - The contractions were very strong, I could not talk through them and the back pain was getting pretty horrific. Each contraction was in my back and abdomen with the back being worse. Alot of the time, the contraction would end but the back pain would remain. This is where Twiggy's positioning really F^&(ed me up and I learned the meaning of back labor. I decided the toilet was the best place for me and I went into the bathroom and refused to budge. The nurse came in all freaked out that my monitors were unplugged so she agreed to let me stay in there but moved all the equipment close to the bathroom so she could plug me in. Looking back this is where my modesty definitely disappeared. Here I was, naked on the toilet (oh yeah, at some point I decided I was hot and didn't like the gown and took it off rendering me completely natural. At least something about this labor and delivery was natural!!!) and the nurse is trying to get the monitors adjusted because they couldn't pick up Twiggy's heartbeat very well. Since she was at -1 station the monitor was having trouble. So here I am, naked on the toilet with Michele and Jamie watching as the nurse is squatted between my legs saying "You have to spread your legs more so I can get the monitor lower!" At this point I definitely had no inhibitions! I stayed on that toilet for about an hour weeping, shaking, contracting and laboring. I believe this is when I started telling Michele that I would want an epidural. She convinced me to wait 30 minutes and then we would talk about it again. My notes say that my contractions at this point were about 2.5-3 minutes apart.
5 pm - Doctor examines me and says I am 3cm and 70% effaced. I start to cry that I am never going to have the baby and I will be in labor forever.
7:30 pm - Yvette the most wonderful nurse ever examines me and says I am 3-4 cm, 90%effaced and at 0 station. I start to panic that I will NEVER have this baby.
9:15 pm - The doctor called and told the nurse to increase the pitocin, not sure what it went up to though but by the end I was around a level 8-9. Contractions were 3 minutes apart, lasting about 1 minute. I was asking for the epidural during contractions since about 5pm but then during the breaks I would say ok, let's wait another 30 minutes. Michele really wanted me to get to 5cm before the epidural to lessen my chances of a c-section. If I got it before 5cm, there was a good chance the epidural would slow down my labor even more. I think around 9 I started very seriously telling her that I wasn't going to make it and I definitely needed the epidural.
Somewhere between here and 10ish, I had 3 contractions in a row that lasted about 7-8 minutes each and were only 1 minute apart. The back pain did not stop during that minute. During this hellish 30ish minutes, I was pleading with Michele, Jamie and God to just let me die. I remember just crying and giving up, thinking I just could not possibly go on. I have never felt such pain and really hope I never do again. Michele told Jamie to go ahead and ask for the epidural. She told me they asked for it and I started crying with relief until I heard the nurse say it would take 30 minutes for the anesthesiologist to get there. Every time the door opened I would ask who it was, crying if it was just a nurse. When the anesthesiologist did arrive, I was so incredibly happy! They would only let one person stay in the room so Michele stayed since Jamie knew I would have contractions during the procedure and thought Michele would be able to help me through them better. He said that while he was in the hall he could hear my screams during contractions and that they were horrible.
10 pm - Finally 5 cm but my cervix is starting to swell. That is not good. If it gets too swollen, baby can't come out.
10:40 pm - The insertion of the epidural seemed to take forever. I think I had 3 contractions during it. I remember crying to Michele that it wasn't going to work. I remember praying to God, please, please just let it work! As soon as it was done, the doctor asked if my legs were tingling and I realized that it was working on both legs!!! I was soooooo happy!!!! Another bonus was the Foley catheter. I was finally able to stop going to the bathroom every 30 minutes. I never thought I would love a catheter but I never thought I would love an epidural either.
11:15 pm - 6 cm!!!! The swelling is starting to decrease to mild swelling. Michele takes to the rocking chair and Jamie gets cozy in the recliner, we start to relax and doze a bit.
WEDNESDAY - Kacey's birthday!
12:30 am - 7-8 cm, right side of cervix completely open so they turn me on my left to try to get the left side to completely go away.
2:30 - 3ish am - My blood pressure drops, so they administer a drug (not sure what) to bring it back up.
3:30 am - The nurse turns me from my left to my back for an exam. I am 9 cm and Twiggy is at a +1-2 station. (That is really low!!! You start pushing at +4 station) Twiggy's heartrate drops. She does not like me on my back!!! Another nurse comes running in and urgency begins. They staart flipping me and the nurse tries stimulating Twiggy by tickling the top of her head inside of me. Finally with me back on my left side and some stimulation, Twiggy's heart rate goes back up. Jamie and Michele are right next to me and very alert!
The nurses go off to call my doctor as well as a surgery technician to come in. The nurse also shaves me and brings in paperwork to authorize a c-section just in case that is what my doctor wants to do. Jamie and I talk about it and we are ok with it of course. Anything to get Twiggy out and healthy!!
My doctor got there about 15 minutes later and is very happy with Twig's heeart rate and how it has stabilized.
5 am - Doctor flips me on my back and does exam. I am at about 9cm but with just a lip of cervix. Twiggy is really low so she has me do a practice push to see if I could push past the lip. Unfortunately this caused Twiggy's heart rate to drop again. The doctor tells me that I may end up doing the c-section after all if the baby can't handle the pushing.
6:15 am - We try pushing again but keep me on my left side. Twiggy handles this well (heart rate drops a tiny bit with each push but recovers very well and quickly) so we decide to continue! She is definitely at a +4 station and although I have a tiny bit of cervix left the doctor feels I can push past it. She also lets me know that since Twiggy is so low she thinks she could vacuum her out as a last resort so a c-section will most likely not happen. I let her know that with the heart rate issues, I am completely ok with an episiotomy if it will help get Twiggy out faster. Heck, we have already lost most of our birth plan why try to keep this one?
7 am - Shift change. My wonderful nurse Yvette leaves and a new one comes in. Unfortunately she is not fully aware of Twiggy's heart rate going down and coming back so she stops the pitocin thinking it is messing with Twiggy's heart. My doctor comes back in a few minutes later and sees the pitocin is off and gets mad at the nurse telling her she just stopped my contractions, which she did. So the doctor turns the pitocin back on but I spend the next 45 minutes pushing on rare contraction occasion and waiting for the contractions to ramp back up. At some point I told Michele I could feel something in my vagina, kind of like a tampon is stuck or something. Turns out I was feeling Twiggy coming down! Getting closer to 9am they are able to see the top of Twiggy's head and the look on Jamie's face is pure joy and fascination.
9 am - I still don't believe I will have a baby. Michele tells me to take a look at the doctor. My doctor is dressed in scrubs with the hat and face mask. "See, the doctor is getting ready, you are going to have a baby!!!" I start crying uncontrollably, OMG this is really going to happen! Michele tries to calm me down, telling me I need to focus because I still have to push her out! They put me on my back for the final pushes, and the doctor tells me to reach down and feel Twiggy's head. My comment? It's SLIMEY!
9:12 am - Doctor tells me to look down and I see Twiggy's head come out. I just can't describe the feelings that over came me. (Actually tearing up now thinking about it.) I was sooo overwhelmed and started to cry. Again Michele reminds me to pull it together, I still have to push. I keep looking and in the next push, there comes the rest of Twiggy!
Kacey Joleane Layla is born. My doctor puts her right onto my chest and leaves the cord unclamped for about 2 minutes. She never cried, just looked at us. Fully awake and aware. Jamie and I were just in shock with happiness and joy! Finally after all this time I am a mommy and he is a daddy. I truly can't describe it, just amazing. So wonderful that it hurts.
Jamie cut the cord and a nurse took her off to do the checks and weigh her. 7 pounds 12 ounces. 20 inches. 8-9 apgar. Overall, just perfect. They brought her back to me all cleaned up and she immediately latches onto my breast and feeds a bit. We spent the next 30 minutes or so just holding her and being amazed. Jamie then left with her and they went to the nursery to do the rest. My doctor delivered the placenta and stitched up my 2nd degree episiotomy.
Even though nothing about the labor and birth were according to our birth plan, it still was wonderful. We knew when we wrote the birth plan that it might not happen and kept an open mind. I am disappointed and wonder a bit what would have happened had we not induced but I really don't care very much. It just doesn't matter at this point. If I get pregnant again, I will reuse the birth plan and try again.
One thing I do want to make very clear, Jamie and I agree on this. Had Michele not been there as our doula, I absolutely would have ended up having a c-section. Jamie was wonderful and did a great job but he has never done it before. Michele was able to back him and his instincts up and reassure him when we made choices. She was also able to keep us going to 5cm probably making all the difference in the world. If you are considering a doula, I assure you, they are worth it.