TW: postpartum hemorrhage, neonatal resuscitation, induction, NICU
I had my twins 5 years ago during the pandemic at 34 weeks due to preeclampsia with severe features. We attempted induction but after 48 hours I only got to a 4, was on mag, kidneys started showing signs of injury so I had an uneventful c section. My twins spent 8 days in the NICU growing and feeding and are doing great.
Birth story:
Healthy pregnancy with singleton girl uneventful until my blood pressure started creeping up to the 130’s at 32 weeks and into the 140’s / 90’s at 35 weeks. After 2 separate visits with elevated blood pressure they advised me I should have an induction at 37 weeks as that’s the evidence based approach with gestational hypertension diagnosis.
I went in at 8am after calling at 7am to make sure they had room for us. IV started, consents signed, ultrasound done and on the monitor starting pitocin and foley balloon around 9:30am. I was dilated to 1cm at that time after some prodromal labor in the days leading up to induction. I started feeling contractions right away and utilized movement called labor warm up with my awesome nurse. I also used TENS, a birth comb, and breath work. Around 4pm they checked on the balloon and it had just about come out. They checked me, I was at a 4, and let me labor a bit. I started feeling major contractions so I tried laughing gas. It didn’t take the pain away but it helped me focus on my breathing so it helped a bit.
6pm they broke my water and said I was still at 4. Baby’s head was well engaged and they kept upping my pitocin. After the AROM I wanted to try IV pain meds. They didn’t help and by 8pm I was ready for the epidural. After the epidural the nurse anesthetist had to spend about an hour trying to stabilize my blood pressure, I was symptomatic and went down to 78/42 but baby stayed looking decent on the monitor. I had several doses of ephedrine and phenylephrine and around 9:30pm I was stable and ready for some rest.
5am the midwife came and checked me. I was at a 5, but she described my cervix as edematous and that the baby was possibly acynclitic. At that time I had an IUPC placed. Around 7am a new midwife came in and wanted to check me, which I declined as I had ruptured membranes and was just checked 2 hours prior. (I was also GBS + and on antibiotics)
Throughout the morning I felt pain in one buttcheek/hip and started feeling pressure during contractions, but they said until I feel pressure between contractions as well it probably isn’t close to time. The baby had a category 2 strip on the monitor so they gave me an infusion of fluid into my uterus to ease possible cord compression.
Around 10:10am I was checked again while my mom went downstairs to grab coffee from the cafeteria. To my surprise I was 10cm dilated and baby was at +2 station! A bunch of phone calls were made to get NICU and L&D staff into the room, the midwife suited up, and I had my husband call my mom (who didn’t answer). The midwife had me cough a couple of times to see how easy she was moving down and I felt her descend. I pushed through 2 contractions and baby was born at 10:24! Just over 25 hours from start of induction to baby being born. She had a double nuchal cord and had poor tone/didn’t cry in the first minute so they cut the cord and went over to the warmer to start resuscitating her. Fortunately she only needed a little bit of CPAP and she was placed back on me within 10 minutes for the golden hour.
I had a part of my placenta get stuck and needed a manual extraction and lost 1100mL of blood. I had 2 small tears, one by my urethra so I needed the catheter in for an extra 12 hours to make sure there wasn’t too much swelling and I could pee.
Baby had some issues with blood glucose and had some bruising around her mouth and needed some monitoring in NICU for a couple of hours.
Overall, it was an amazing, redeeming experience. Getting my baby placed on my chest right away, getting to do the golden hour, and being discharged together was my dream. My sweet girl weighed 6lbs9oz and is now just shy of 3 months old. Recovery was night and day even though I had some healing tears and hemorrhoids. I am done having kiddos now that I have 3, but I’m thankful I was able to have a VBAC.