Epidural Drama

By Heather Mark

“Terror” wasn’t strong enough to describe the anxiety I felt about giving birth. The lifelong commitment to nurture and guide the little baby inside me seemed like a piece of cake compared to giving birth to that little baby. Birthing class videos (aka, horror films) didn’t demystify the birthing process, they simply proved to me that birth would be the most agonizing experience of my life. Without question, I planned to get an epidural, and get it early.

Contractions didn’t start when my water broke, so I was given a Pitocin drip at the hospital. Once I was dilated three centimeters, the contractions were coming so strong that I knew it was time for the epidural.

The anesthesiologist prepped me by numbing the local area first. “So far, so good,” I thought. But then it felt as though she was cranking my vertebrae apart with a tire jack. A clicking, cracking sound reverberated through my bones and into my ears. I gasped.

“I got heem,” she said, meaning she drew blood she shouldn’t have. I groaned as she prepped a different spot on my spine to try again. And again, the pain rattled up my spine. I was drenched in sweat, I shook, I cried. Then I heard then the anesthesiologist ask for the doctor because she “got heem” again.

I didn’t think I could make it through another attempt, but the mood in the room changed as soon as my doctor stepped in. He kept the tone light, distracted me, and successfully gave me an epidural in moments. It wasn’t long before my contractions were pain free.

Except epidurals can cause low blood pressure, and mine had plummeted to 80/40. I didn’t know if I would throw up or pass out, and my limbs felt heavy and weak. A nurse quickly administered epinephrine; soon my blood pressure was OK and my strength returned.

The anesthesia process, which should have taken just a few minutes, had become an hour-long ordeal. In contrast, it took only 25 minutes to push, and there was little pain. In fact, delivering my darling Henry gave me an adrenaline rush! Giving birth is a monumental achievement, and I can’t wait to do it again.

My Wayward Birth

Our birth plan consisted of two items:

1. Don’t get stuck in traffic and become a Daily News headline: “Baby Boy Born on Brooklyn Bridge.”

2. Take advantage of the miracles of modern medicine in the form of painkillers and machines with comforting whirrs and beeps that let us know the baby is safe.

My husband, Wayne, and I marked the end of week 39 by deciding to stop procrastinating and get going on some projects. Off went Wayne to buy stain for a cabinet we’d had sitting around for six or seven weeks. Me? I needed to rearrange all the closets. Oh, and pack for the hospital. But first, a pit stop.
My water broke while I was on the toilet.

After I’d soaked two of the three pairs of maternity pants that still fit me, I decided the toilet wasn’t such a bad place to be. So, ensconced on the commode, I called my doctor and bellowed packing instructions to Wayne.

I walked into labor and delivery audibly squishing in my shoes, while the amniotic fluid continued to run down my legs. Meanwhile, my contractions had gone from zero to every three minutes in about an hour. But at least Wayne found parking—unmetered parking!—right around the corner, thus ending my nightmare of having to text him the baby’s length and weight as he circled the neighborhood looking for a space.

The contractions continued to intensify. I couldn’t have the epidural yet because I wasn’t really dilating. Luckily, that didn’t stop them from offering me a grape Popsicle! As the contractions got stronger and closer together, I calmly explained to Wayne that they felt like charley horses to the magnitude of about 1,000 and that if he was under the impression that breathing would help, he was very much mistaken. If, as he claims, what I actually said was “&%#@ the breathing, this hurts,” I can only say that it must have been the Popsicle talking.

Finally, I was given Demerol, after which I remember exactly two things:

1. Telling Wayne that “drugs are great.”

2. Six hours later, when labor had stalled, signing the consent form for the C-section.

We arrived in the operating room to the tune of “Carry On My Wayward Son,” which my doctor identified as being by Styx. Wayne quickly corrected him: Kansas, not Styx. Could Wayne identify the album, he asked? Of course: Leftoverture. All of which had me thinking:

1. Oh my God, I’m letting a man who doesn’t know Styx from Kansas cut me open and…

2. Oh my God, I’m married to a man who knows the name of a Kansas album from the 1970s…

3. Hmmm. Leftoverture is kind of a clever title and…

4. Why don’t they stop talking and get on with it?
And then the doctor told Wayne to look over the curtain and George Monte entered our world.

Melissa lives with her husband and son in Brooklyn, NY.

A Mother's Love Beats All Odds

1-year-old Summer1-year-old Summer
By Rochelle Hughes

Seven months into my pregnancy, my doctor told me “Your amniotic fluid is low, you need to deliver today.” My fiancé’s sister drove me to the hospital and when I got a room in the labor and delivery area, the doctor finally came and I was induced with Pitocin.

I was contracting so hard that the baby’s heart rate lowered and they gave me a choice of an epidural or a Cesarean section. I chose the epidural and after a few hours I had dilated to 10 centimeters. The delivery went relatively smoothly and at 2:16 p.m. our daughter Summer was born. My doctor came over to my bed, holding the baby, and told my fiancé and me, “There’s something we need to talk about.”

I looked down at my little girl. Her eyes were slightly slanted, the bridge of her nose was flat, her ears were so small and not aligned with her eyes, and her cheeks were so chunky. With tears running down my cheeks, I said, “I know. She has Down syndrome.”

This wasn’t a total surprise. An early ultrasound screening had revealed the potential for our daughter to be born with this disability, caused by the presence of an extra chromosome. These tests measure the quantities of normal substances in the mother’s blood. The test results for an mom who wasn’t likely to have a Down syndrome baby would have been 1 in 300. My test results were 1 in 96. At the time I didn’t think anything of it. “That’s like a penny out of a dollar,” I told myself.

Summer needed an echocardiogram to make sure she didn’t have any problems with her heart. Babies with Down syndrome often have heart defects and need surgery within the first few days of life. Then she needed blood work.

When I first saw her, all I could think was, “Why did this happen to us? What did I do wrong?” I wasn’t even thinking of what a gift she was to us until the nurses took her away. I waited all day for her to come back to my room. I didn’t understand why she couldn’t be with me.

After the epidural finally wore off, I went to the nursery where she was kept in a ventilator and I looked at her and cried. She had on an oxygen mask that she kept ripping out of her nose. The nurses had to tape it to her face. That night I woke up every three hours to feed her, each time rocking her to sleep, trying to do everything I could to bond with her.

Five days later, test results finally came back and her heart was perfect. It was the biggest relief. It was time to take her home to her room, where her crib, dressers, and changing table were all dolled up for her, where I had drawn and painted Winnie the Pooh characters on every wall.

It’s been a little over a year since Summer was born, and she’s already taught me so much about life. I really want moms to know that even though she is different, Summer is not disabled. Every child is a gift, and I love mine unconditionally.

Rochelle lives with her family in Hobart, IN.

Right On Time

Elliott at 4 monthsElliott at 4 months

By Claire Smith


I planned a lot when I was expecting. So did my husband. We subscribed to all the magazines and read every possible published word on pregnancy. I knew the inner workings of each aspect of human gestation. We organized and charted and worked on getting our house ready for a baby; things went smoothly.

For all my planning, I had a relatively benign pregnancy—aside from carpal tunnel syndrome pain that kept me up nights—and I was convinced I would go to 40 weeks and beyond. When we had our ultrasound, it appeared that little Elliot (we’d already picked out a name) was snugly tucked into my right pelvis, using the placenta as a pillow. Yep, he would emerge only when good and ready, which meant I had a lot more time to gear up.

As the due date loomed closer, things were still pretty easy for me, even as my stomach became a gigantic balloon of baby that made me swoon in the Florida heat. The new school year began and my job in college administration became extremely busy. Elliot was slated to arrive on September 17, three weeks after the first day of school. It was imperative that I hang in until at least the second week, when things would calm down.
I joke now that my son must have been listening to my thoughts, but instead of hearing “second week,” he heard “second day.”

On Tuesday of that first week of school, I began to feel some cramps. I had just reached 37 weeks and figured I might be having some minor Braxton-Hicks contractions; the baby had definitely dropped lower into my pelvis, squeezing my bladder into a tiny marble with about the same liquid capacity.
Around 8 p.m., I became a statistic—one of the 15 percent of mothers whose water breaks spontaneously—and I was absolutely certain I was in labor. I was also completely unnerved.

Scrambling for something to protect my clothing and, soon thereafter, my cell phone, I suddenly remembered a brief exchange with my husband right before he left for flag-football practice that night. “I’m not going to take my phone,” he said, while grabbing his cleats. “Yeah, I doubt you’ll need it,” I replied.Thankfully, I tracked him down via our friends, and he was able to rush home. We headed to the hospital, where they checked me and said I was just 1 centimeter dilated.

Thirteen hours of labor later, Elliot Michael finally entered our world, healthy and happy. As I called the office from recovery to apologize, my co-workers reminded me that nothing to do with pregnancy can be planned, no matter how many books you read or websites you consult. I had been so worried about leaving work that I wasn’t appreciating my newborn son. But once the nurse passed his swaddled little body in the blue-and-pink-striped cap to me, I forgot about all my plans.


Claire Smith lives in Tallahassee, FL, with her family.

Dream Labor

Jackson at 10 MonthsJackson at 10 Months

By Lisa Maxbauer Price


No morning sickness. No cravings. For me, being pregnant had felt a lot like being not pregnant, so I was eager to discover how my perceptions of labor would compare to the real thing.
On the night before my due date, I climbed into bed and felt a kick, then a trickle. “My water just broke,” I announced to my husband. Except for being damp, I didn’t feel any different. Still, I knew that karate chop to my water bag had started a countdown clock. Over the phone, my doctor confirmed what I had read: The baby needed to be born within 24 hours to avoid risk of infection.
So, my husband and I jumped in a taxi and headed to the hospital to get my contractions started. The nurses inserted a dose of Cervidil, which looked kind of like a tampon, to soften my cervix, and I went to bed. When my contractions still hadn’t kicked in hours later, I started Pitocin. Finally, I felt something.
At first it was fun, riding each contraction like a wave. But then back labor hit—hard. My doctor snapped into action, suggesting heating packs and positioning tricks. Choosing an ob/gyn is kind of like recruiting a quarterback without ever seeing him throw a football. When the pain spiked, it was reassuring to know that I’d drafted a pro.
The clock kept ticking and the baby kept playing demolition derby on my back. I found some relief leaning over a birthing ball, walking the halls, and soaking in the tub, but the pain kept building and I was barely dilated. I’d always hoped for a drug-free birth but decided an epidural would be the best way to conserve my strength.
And I was right. With the pain controlled, my body could relax and do its job. After an entire day, I managed to dilate to 9.5 centimeters. I was so close to being able to push when my doctor delivered the news: “We’re out of time. You need to have a C-section.”
They wheeled me into the operating room. Madonna’s “Ray of Light” was blaring over the radio. A friend had once told me that delivering a baby via Cesarean is like trying to pull a sweater from the bottom of a stuffed suitcase that’s only unzipped a few inches. So true. Still, within a few minutes, the doctor managed to tug the baby free from the carry-on bag my belly had become and announced, “He’s as big as I am!”
A he! Suddenly my big boy was in my arms and I was staring at his chin dimple—the one that matched his daddy’s, the one I’d pictured he’d have in a dream.
Learning that I would need a C-section seemed worlds away from my ideal labor, but it was still an amazing experience. I was able to nurse Jackson immediately after surgery and I recovered quickly. It honestly felt like it was meant to be. I know it was my perfect birth, because it’s what brought my karate-chopping son to me!

Lisa Maxbauer Price lives in New York City with her husband, Matt, and their son.

Thanks, Coach

Audrey, 8 days oldAudrey, 8 days old

By Jennifer Colvin

As marathon runners and triathletes, my husband, Bob, and I felt prepared walking into our first birth class. We figured birth was just another endurance event and, of course, we’d seen the movie Knocked Up!

But as we began to watch the first birth video, Bob’s face paled in the flickering light of the television. I started to sweat. If we were going to get through this, we needed a coach.
When the lights came up, we approached Rachel, our instructor. As both a doula and a marathon runner, we thought she’d be ­perfect for us. Bob and I promoted our qualifications like job applicants. We knew how to work as a team. Plus, we lived close by. That sealed the deal, and Rachel was hired as our labor instructor.

During the final months of my pregnancy, ongoing round-ligament pain made waddling down the hall to the bathroom every 20 minutes a slow and painful process, which turned out to be a harbinger of things to come. I was nervous and excited when I went into labor, just like at the start of a race, but after 18 hours, the contractions began to grip my lower back in painful spasms.

When Rachel called Bob for an update, I moaned, “I’m fine.” Wisely, they both ignored me and soon Rachel was on her way. I distracted myself by keeping a log of times. Bob distracted himself by making his first casserole. When Rachel arrived, we both nearly wept with relief, and at midnight we left for the hospital.

Bob and I had both completed Ironman Triathlons in 12 hours. But somehow, after 28 hours of labor, I was going nowhere fast. In the hopes of speeding things up, the doctor administered Pitocin. Four hours later, nothing had changed. When the midwife broke my water, we were even more discouraged: The baby was backwards.

Rachel showed me different positions to try in order to turn the baby around. It seemed impossible. I didn’t want to give in and take pain medication, but I desperately needed a break and decided to get a shot of Fentanyl. After the drugs had worn off, Rachel looked me in the eyes and made me confront what I had been avoiding: “You’ve got to get this baby out.”

Rachel coached me through the next contraction. I imagined running up a hill in The San Francisco Marathon—the first race Bob and I had done together—and, muscles burning, the baby turned to the correct position. I looked at Bob and made up my mind. I was fully dilated and it was time to have this baby.

No one had told me that pushing was such hard work. The midwife cheered, “You can do it!” with unflagging enthusiasm. I looked at Bob and saw his eyes fill with awe and tears. After nearly 43 hours, we finally reached the finish line. Our trophy was Audrey, a beautiful baby girl.


Jennifer Colvin lives with her family in Burlingame, CA.

Doctor in Delivery

Baby Sore at 3 months.Baby Sore at 3 months.

By Wanjiku Musindi, M.D.

I am a doctor, specifically a high-risk obstetrician. This means I take care of women with medical conditions that complicate their pregnancies. I love what I do, especially since most of the women I care for have very challenging experiences. Because I have a lot of practice dealing with these moms-to-be, who go through a lot, I felt pretty confident that I could handle anything that came along when I eventually got pregnant.

My husband and I were overjoyed when we found out we were expecting our first child. We decided not to learn the gender of the baby so it would be a real surprise. I created a blueprint for my pregnancy and put into action all the advice I have given my patients over the years: I modified my eating habits, continued to exercise moderately, and took good care of myself. I was on track for the perfect delivery. Little did I know that, even with the best-laid plans, life could throw me a curveball.

At the beginning of the third trimester, I reviewed my delivery strategy with my obstetrician and felt very much in control. Then, at 37 weeks, on a day when I was scheduled for a routine doctor visit, I noticed that my baby wasn’t moving. The nurses performed a standard non-stress test, which involved placing monitors on my belly and tracing the baby’s heartbeat. Another monitor documented contractions.

It quickly became apparent that I was having contractions and that my baby’s heartbeat was lower during a couple of them. As a physician, I knew this meant that I would need to be induced to deliver the baby that day. But, as a mother, I was in denial. How could my perfect pregnancy plan be falling apart? What was happening to my baby? Was he or she all right?

I started to cry. For the first time, I realized I couldn’t control anything that was happening. For the first time, I was scared. Looking back, I think that although I possess all the knowledge about pregnancy and the correct procedures, I found it emotionally difficult to accept that everything was changing so quickly.

The doctor induced labor and broke my water. To keep track of the baby’s heartbeat and my contractions, she inserted an internal monitor. Over time, I relaxed and stopped feeling scared; I knew I was getting the best care. When it was time to push, I thought about the instructions I had given my patients about pushing and put them into action. I delivered in 19 minutes!

The first thing I saw was my baby’s head, which was full of hair, then his back and butt. My husband told me it was a boy and I again started to cry—this time, tears of joy. Our son began to wail and I held him close to my body as he squirmed. He opened his eyes and looked into mine, and I fell in love.

Wanjiku Musindi, M.D., an assistant professor at The Ohio State University, lives in Columbus, OH, with her family.

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