Readers, I haven’t updated this blog since the month before Scarlett was born. I’ve been busy being a bodily fluid cleaner-upper for the past 19 months. I mean parent. But now it’s time to tell the unadulterated story of Scarlett’s birth. OK, maybe some of the bodily fluids talk will be, well, adulterated. From now on.
As many of you know, if from no other source that my brilliant blog post “Hotelspital,” on June 17 Anne was overwhelmed with laziness and decided that she wanted to stay off her feet in the hospital until the birth happened. Something like that. I don’t remember all the details.
We were told that at week 34, the risk of infection outweighs any benefit of additional gestation. That set our induction date at July 19th. You know, Burmese Martyrs’ Day. We drew a calendar on the whiteboard in Anne’s hospital room and indicated July l9 as our target day to reach, with milestones on each Tuesday until then. (Tuesday is our official week mark for our pregnancy.)
In the wee hours of July 13th, Anne’s sleep was disturbed by contractions. Around 11 in the morning, the perinatologist stopped by Anne’s room to discuss when the “rescue dose” of betamethazone was going to be delivered that week, given that our induction was planned for the following week. During the conversation, Anne was having relatively strong contractions. The perinatologist told her not to worry, however, telling her that she was “contracting, not laboring.” He ordered her a dose of nifedipine, a drug that helps prevent premature labor.
Anne and I had spoken on the phone that morning before I left for work. She said she had been having contractions and was a little worried. Given the frequency, the short duration, and the relative lack of intensity that early in the morning, I was relatively convinced that they were Braxton-Hicks, in my expert medical opinion. We agreed that I wouldn’t drive to work that day, and I took the train to work.
Oops.
Anne called me at about 12:30 and sounded upset. Despite the slug of nipedipine, her contractions had intensified. As I said, she had been told that she was not in labor about an hour before, but she was getting scared. She asked me to come as soon as possible. I left to get to the next train.
I then realized that there was no way that I could make the 12:41 train. Because of years of huge budget deficits, Caltrain had cut midday trains, so the next train I would take would have to be at 1:41 – and it would have to be a local, which itself takes an hour to get to San Francisco. I’d then need 10-15 minutes to walk home and then about 20-30 minutes to drive to the hospital.
I got to the train station and called Anne again. Her contractions were definitely intensifying, and she had a feeling that something serious was happening. Her mom had called me earlier, having just spoken to Anne, and was unsure whether she should come or not. I checked with Anne again and she said that she wanted both of us there. That would speed up my trip to San Francisco, though I would have to wait for Bea to leave work and pick me up. While waiting for her to show up, I called Anne again to keep her company. She said she had just had a pelvic exam and was 4 cm dilated, 100% effaced. This was happening. My excitement (and panic level) started to rise. 4 cm already.
Bea picked me up at the Palo Alto train station and we sped to the city, dropping me off at our apartment. I hadn’t packed a labor bag yet. That was my plan for the weekend! I sprinted inside and frantically grabbed a a bunch of stuff: an iPod, iPod speakers, massage oil, my bathing suit, some rock candy, coconut water, a camera…I was prepared for multiple labor positions and hours and hours of labor.
I jumped into my own car and started speeding across the city. After about 10 minutes I stopped at a light and (illegally) sent a text message to Anne:
Within a minute I received a text back:
I was starting to panic; this was going way too fast. 4 more centimeters in just an hour? When the light turned green I was suddenly THAT guy – speeding dangerously, violently swerving around people. I hit a midday traffic snarl at Franklin. I took an alternate route. I was doing 60 on Geary.
I did a rapid circle around the hospital’s block for parking, already sweating. Nothing. I sped back to Parker, about a block from the hospital, and took the first space I saw. (Yes, I circled the block for parking. Believe it or not, this was a calculated decision. The hospital parking lot didn’t guarantee spaces either, and it was cramped and slow going. It was faster to find parking on the street – trust me.) I jumped out of the car, grabbed everything, and started running to the hospital. I was carrying a lot of weight, and the run to the hospital took it out of me. Hyperventilating, I powerwalked down the second floor hallway of CPMC, trying to prevent my heart from exploding.
Anne was already in transition labor and in between contractions. I came in and saw a nurse (it just happened to be a nurse that Anne hadn’t had in the past month) as well as our friend Sarah Cipriano. I blinked; what was Sarah doing here?
Turns out that Sarah, who was two weeks behind Anne in her pregnancy (due mid-September 2011), had a pregnancy-related appointment across the street and just had a funny feeling that something was going on with Anne. She called and got no answer. She tried again a few minutes later and Anne picked up, letting her know that she was in labor. Sarah came to her room immediately.
Such a great friend! It was great fortune. Anne had a friend with her (not just the nurse) until I arrived. Also, thanks to Sarah, we got great pictures in the labor and delivery room.
So let’s get back to the real story. Anne’s contractions were frequent and intense. One of her hands held mine while the other held her mother’s. One tip I picked up at our childbirthing class that I remembered on the second transition-stage contraction for which I was present: do not give a laboring mother your whole hand during a contraction. Give her two fingers to squeeze. I re-learned that lesson quickly. It was like having someone perform the bonecrusher on you for 45 seconds. While moaning.
Anne’s contractions were painful. 10 minutes or so after I arrived, she mentioned to the nurse that she felt like pushing but the nurse said that she had just been checked a few minutes ago and that it wasn’t quite time yet. The nurse left the room to go check on something, Anne had a contraction, and then she told me that she felt like the baby was there and that she had to push. I ran into the hallway and told the nurse that Anne felt like the baby was coming. The nurse had our OB paged.
20 minutes of pushing was all it took. At 3:25 pm Scarlett Sierra was born. Anne did it naturally like a champ. Scarlett was a face presentation (face up) so her nose was pretty squished and she was pretty bruised. This is actually pretty dangerous – the OB must have decided that the speed of the labor and delivery precluded a C-section. The neonatal intensive care unit (NICU) team was on hand and immediately examined her and intubated her because her airway was not sufficiently open due to the swelling. We did hear one cry from her prior to that. She was presented to us in the isolette and then whisked to the NICU.
She thrived in the NICU. She wasn’t sick at all – just small! She was born at 3 lbs 15 oz, at 33 weeks and 1 day into the pregnancy. She was extubated less than 24 hours after her birth and needed no assistance breathing when that happened. Her IV came out a few days later. She’s had an NG (nasogastric) tube for a couple weeks, which is pretty standard given the difficulty that many preemies have feeding from the breast or bottle. Once her suck/swallow reflex developed, she nursed beautifully, even in spite her preemie status.
I want to make an aside here. Scarlett was born on the 13th and I had my wisdom teeth out on the 8th. That said, I was actually NOT on vicodin the day that Anne delivered. I was actually extremely lucky with my extraction and really had minimal pain afterwards. So I didn’t even use all of my pain medication. Anne was prescribed some Norco following the birth but never used it. We were awash in drugs. But our happiness was all the drugs we needed.















