Dear Evangeline,
Your birth was amazing. Your mother found my information in the internet and contacted me about being her doula for your birth. During the consultation, we figured out that I knew her dad - your Grandpa! It was a wonderful connection, and I think that fact made your mother decide to hire me! She and your father and I talked and planned together over the following months. She also asked me to take maternity photos and that was a wonderful experience for me.
Your mother was doing wonderfully with her contractions. She
was having some irregular labor patterns called "camel-back" or
"piggy-back" which means that the contractions were coming in pairs;
the second one started before the first had really finished. It made for hard
work for the both of us. But she was strong and stayed relaxed and positive.
On June 15th, your mother started having some more regular contractions. We talked on the phone that evening and I told her to try and get some rest while she had the chance. She ended up calling me at about midnight and I got to your parents home at about 12:30 a.m.
On June 15th, your mother started having some more regular contractions. We talked on the phone that evening and I told her to try and get some rest while she had the chance. She ended up calling me at about midnight and I got to your parents home at about 12:30 a.m.
She got in the tub and that helped for a while and then we
moved back to different positions on the couch. By this time the contractions
were getting a lot more intense and yet were still coming in the
"piggy-back" pattern. She was still working through them really well,
but I was concerned that the labor wasn't evening out because often irregular
labor isn't as effective. At one point she had three contractions in a row
which meant that she was contracting hard for nearly six and a half minutes!
We were both
exhausted and I decided to call the midwife, Katie, and ask her opinion. She
advised us to start heading toward the hospital because she really couldn't
diagnose the situation over the phone. So we woke your Daddy up and he got the
car loaded.
We got to the hospital a little after 4 a.m. and your mom got checked into the
triage. However, when they checked her she was only dilated 3 cm, 75% effaced
and still in -2 position. In other words, not very progressed. It was
disheartening for us all. Once the midwife came in and examined her she
realized something was abnormal. As they transferred us to the delivery room
your mother was literally writhing in pain - which is very unusual for being so
early in her progression. Katie turned to me and said, "I think the
epidural might be a good option."
They gave your mother some narcotic to ease the pain as they
waited for the anesthesiologist. The epidural was finally placed at 5 a.m. I
had stepped out into the hallway during this and came back when Katie came in.
For some reason Katie decided to check your mother again and it was a good thing.
"Oh!" Katie said, "you're a 5, oh there goes your water, now
you're a 6!" That was at 5:20. And then started a flurry of activity!
When the water broke there was a lot of blood and meconium.
These were further signs of something being worrisome. Katie called the NICU team
to come and prepare for the birth and suddenly there were a lot of people in
the room. Along with the NICU people there are several additional nurses there
and everyone was very busy. Your mom was dazed and confused at the bustle and
kept asking why all these people where in here. At 5:28, 8 minutes later, your
mother had dilated to an 8!
Labor was progressing so quickly now that Katie would turn
and put on one sleeve of her gown then turn back and help your mom and then
turn and put a glove on and then turn back to your mom...it was amazing how she
handled the situation. She was decisive and quick but still cheerful as she
conducted the organized chaos around us. I was standing on one side holding
your moms hand and trying to keep her focused, your Daddy was holding her other
hand.
As Katie directed your mom to start pushing I could tell we
were very close to needing an emergency C-section and I heard a couple of
nurses say something about having the O.R. prepped. Katie told your mom that she had to push you
out "now." And your mother responded wonderfully! You were born at
5:43 a.m. Katie immediately handed you off to the NICU team. A few minutes
later, once they had cleared out your lungs and felt your were stabilized, they
handed you to your mother to hold for a minute before they took you up to the
NICU. It was sweet and all too short.
It seemed like only moments later that the room was emptied
and your parents and I were left alone. It was very surreal. Katie came back in
to sat at the foot of the bed to discuss things with us. She explained that the
placenta had started to detach from the uterine wall prematurely and that had
caused the extreme pain during labor and the unhelpful piggy back contractions.
This is called placental abruption. Your
mother's body recognized that something was wrong and was doing everything it
could to get you out quickly. Once the water broke the detachment was nearly
complete which explained the sudden and sever bleeding. Without placental support,
you were without oxygen. That is why Katie directed your mother to push you out
so quickly.
Katie told your mom that she had honestly saved your life.
She also assured us that this was an unusual thing and that there was almost no
chance of it happening to your mother again. She said that you probably
wouldn't have to stay in the NICU for too long because you were already doing
better. Your Daddy said your mom was "the boss!" He was so proud of
how she managed this hard and scary labor.
Little Evy, your daddy and Katie were right! Because your
parents and those attending your birth were smart and strong, your birth was a
very special experience. And that makes you a very special person. I hope and
pray that you will remember that and always try to surround yourself with
wonderful people. I am so honored that I was a part of your amazing birth!
Best Wishes,
Estee Ragsdale
Doula