Evie Louise arrived 31st October at 13.50hrs, weighing in at 7lbs 13ozs.
and here’s how it all went……………………………….
Her expedition into the outside world was encouraged yesterday at 12 noon when DIL had her first, and as it turned out, only prostin pessary. Before the pessary was inserted she and baby were monitored for half hour, ensuring that all was well before the stress of induction of labour. Following an internal examination, to assess if it would be possible to rupture the membranes without using prostin, the pessary was inserted high in the vagina, monitoring was then recommenced for an hour. At this point all was well so DIL was released from the monitor and encouraged to mobilise. At 3pm frequent ‘prostin’ pains started. They caused the uterus to contract, frequently, causing Mum and baby to become distressed. Monitoring was recommenced, increasing DIL’s distress as it made mobilizing more problematic. At 6pm a repeat internal examination was performed, there was no intention to repeat the prostin as would normally be the case if it were needed due to the intensity of the uterine activity. Unfortunately there was no change in the cervix, unsurprisingly DIL was disheartened and after that it was taking a huge amount of support and encouragement to cope with each contraction. By 10pm it was all too much, TEN’s was ineffective and so pharmaceutical pain-relief was offered in the form of pethidine, this was given by injection. The opiod helped her to relax for a couple of hours but after 3 hours she had used up all her, and our (!), reserves and was extremely distressed. Another internal examination was performed and……..hurrah, the cervix had opened enough for the membranes to be broken (ARM). For this to happen we had to transfer to delivery suite, and unfortunately there were no beds and we had to wait another hour and by the time there were beds DIL was demanding an epidural prior to the ARM. This was nearly a problem as there are restrictions upon the number of women with epidurals on labour ward, in the end the fact that I was there saved the day. Oh well, I do have my uses!
Once the epidural was sited, and working, all became super calm, the waters were broken and two hours later the syntocinon infusion was started. DIL and Son settled down for a well-earned sleep, whilst I kept watch, labour ward was super-busy so their midwife was caring for three women in labour, totally unacceptable but par for the course in today’s under-resourced maternity services.
When the day staff came on they had their own midwife so I decided to come home, have a power nap and return rejuvenated, or at least refreshed, just after the next scheduled examination at 11am. On the way home I nipped to the bakers and bought some sausage rolls for son’s lunch and some iced doughnuts for after the birth. At 9.30 I flopped into bed, and at 10. 30 I was awakened by son phoning to say that it was all systems go, DIL was going to start pushing at 11am. Thank heavens the roads were clear and there was a parking place at the hospital!
By 1pm it was starting to become obvious that baby was not going to make an entry into the world by just it’s Mummy’s efforts. So frustrating as it was so nearly there but, push as hard as she could, there was no further advancement, a Doc was asked to review. After much encouragement, and a very exacting assessment of how baby was lying, doc explained that baby was trying to come out without flexing her head, so a larger diameter is attempting to deliver, something which causes delay. Baby was, by now, becoming tired, after every contraction the heart-rate was dropping from a baseline of 130 beat per minute to 70, and staying down there for a minute, action was necessary, a ventouse was decided upon.
At 13.50, after one pull of the ventouse, baby was born with with her hand up by her cheek and and a real cone-head. Whilst the Doc was stitching DIL up she started to bleed, he estimated about 1 litre. The IV syntocinon was increased, bi-manual compression was used and ergometrine was given, the bleeding stopped quickly, and DIL appears to have tolerated the blood loss.
As you can imagine it was all quite emotional, I think that all of us had been keeping our angst’s under wraps and the wonderful arrival of Evie has released our feelings, the relief is palpable.
Photos tomorrow when I’ve had a long nights sleep.