Tuesday, May 18, 2010

parenthood: 1. getting there

the baron's cesarean section incision (and her insides too) are very nearly healed.

six weeks and two days ago, the baron and the husband went to the baron's obstetrician for her 39th week checkup. the doctor checked the baron's overall health, then checked her cervix for dilation and came up with a whopping 1/2 centimeter. the baron, at one week from her due date, was one-half inch dilated, suggesting that the baron's body was saying 'hello? not quite ready for this. let's wait a bit longer. just a bit.' baby x, conversely, was pushing down on her cervix, hard, the in-utero version of, 'hello world? i am ready to come out.'

the doctor suggested that labor be induced, that very afternoon. to this, the husband said (and reader, the incredulity was heavy, heavy in his voice), 'wait. you mean, we go to the hospital today and we get a baby tomorrow?' to this, the doctor said, 'yes.'

that afternoon found the baron and the husband making for the hospital. traffic was kind to them, and they arrived at the hospital just on 4:30 pm. by 6 pm, the baron was hospital gowned and waiting on the on-call doctor to begin her inducement.

inducement: it comes in two parts sometimes, as it did for the baron. she received prostaglandin gel at 9 pm, intended to, uh, ripen her cervix (thus making dilation more likely). in theory, this sounded like a great idea. in reality, the insertion of the gel caused baby x's heartbeat to decrease. in a really frightening way, the kind of way that made four nurses and a doctor rush into the baron's room. they laid their hands on the baron, pushing and pulling her this way and that, trying to find a good position for baby x, one that would alleviate pressure on him. they put oxygen tubes into her nose. the medical people held their breath and watched and waited, a collective whole, and the baron and the husband did too.

baby x recovered. the baron and the husband passed the evening awake but pretending to sleep, or trying to. reader, it was a very, very long night.

the baron was meant to take a room in the labor and delivery unit the following morning at 11 am when she would receive the second drug - pitocin, to dilate her cervix.

however. no bed was available in labor and delivery at 11 am. or at noon. or at 1 pm.

in fact, no bed became available until after 5 pm, which meant that the baron did not receive her pitocin as scheduled. which means, reader, that the baron's cervix stayed locked up tight, hovering at right around 1 centimeter. but reader? the gel, the one meant to soften? that gel started her contractions, gently at first, then not very gently at all.

so not-very-gently-at-all, reader, that by 5 pm (when she as finally moved into labor and delivery), the baron began courting the friendly nurses, chatting them up about the odds of her receiving an epidural post-haste.

near 6 pm, the baron was connected to the pitocin drip. it didn't go well. baby x's heartbeat slowed again. and recovered, again.

at 6:15 pm, the baron was introduced to the anesthesiologist, a lovely man bearing a lovely gift. the epidural was administered, but it didn't go well. baby x's heartbeat slowed for a third time. and recovered.

at 6:30 pm, the on-call doctor - the man who would be delivering baby x - entered the baron's room and examined the baby's heart rate monitor print out. he seemed perturbed and was quiet, and the baron and the husband were too. too much quiet coming off a doctor makes a person nervous.

doctor: how invested are you in the idea of a vaginal delivery?

the baron: uh.

the husband: uh. can you talk us through the benefits of one over the other?

doctor: your baby's heart rate has dropped three times since you've been here. when he passes through the birth canal, because of the strength of the contractions, we'll expect his heart rate to drop again - that's natural - but for your baby, given these three incidents, i say why not just go with a c-section and remove the risk of his heart rate decreasing for a fourth time? also to consider, if we begin the vaginal delivery and his heart rate drops too precipitously, we may end up having to do an emergency c-section anyway.

the baron and the husband took the doctor's advice. it was 6:45 pm.

by 7 pm, the husband was being outfitted in too-large-for-him blue scrubs, and the baron was being shaved. she had long since shed her vanity.

by 7:15 pm the baron was being wheeled into an operating room.

at 7:20 pm, the husband was allowed to join her, taking a seat near her head. their view of the baron's nether region was blocked by a blue sheet.

at 7:25 pm, the baron - totally, totally devoid of feeling from the ribcage down - was being mined for baby x.

at 7:44 pm, baby x was born.

at 7:44 pm, the husband leaned over the baron's face and kissed her forehead. he whispered words into her ear, and the baron's insides swelled with emotion bordering on ecstasy. reader. the baron and the husband made a baby. he was born, scooped out, and with him came more love and light than words here can convey.

at 7:45 pm, one of the nurses charged with cleaning baby x gasped, 'oh my god, is that red hair?!'

by 10 pm, the baron, the husband, and baby x were back in the labor and delivery room, waiting for transport to the recovery floor.

below, how the baron and the husband kept themselves occupied during their 5 day stay.