Once the doctor broke my bag of waters, my cervix closed back up a little bit on one side. After being fully dilated at 10cm, I was now 9.5cm, and it was no longer safe to push. We spent the next 2.5 or so hours trying to get that part of my cervix to open back up but had no such luck. I was in an incredible amount of pain and had no break between contractions. They were just on top of each other and I was starting to get really desperate. The nurses kept being sure I’d progressed to 10cm again & were constantly checking my cervix to see if we were ready.
Aaron was so great during all of this and was doing whatever he could to help me. They had me laying on my side in bed for a while to see if gravity would help the cervical lip & let me tell you, contractions while laying down were a bitch (pardon my language). When a contraction would come, I would just grab whatever part of Aaron my hand landed on and squeeze until it was over. At one point, I grabbed his shirt and accidentally yanked a handful of chest hair. Whoopsie! Poor guy.
We tried so many positions and nothing was doing the trick to get me fully dilated again. I was starting to feel very pushy but they were telling me I could NOT push until I was 10cm (obviously). I truly did not know what to do and was struggling to fight against what my body was telling me to do. I was having a really hard time not pushing, so I opted for the smallest dose of phentanyl to try to help me catch my breath. I was hoping to get ahead so that I’d be ready when it was time to push. However, it didn’t help at all with the pain & ended up making me just fall asleep between contractions.
Finally, one of the nurses decided to try to force my cervix the rest of the way. She kept her hand on my cervix trying to push it to 10cm through several contractions. HOLY hell, this was AWFUL. After what felt like an eternity, it finally gave way. That was probably (definitely) the most uncomfortable part of the entire labor. I remember actually asking the nurse to take her hand out of me for just one contraction because I couldn’t stand it any longer.
Anyway, they decided I was ready to start pushing. My doc said to go ahead and start and she was going to run to check on someone else and would be back in a few minutes. So we start some “practice” pushes. On the second (I think?) contraction, I pushed Wren into the birth canal and her head was starting to crown. The doc was not back yet because again, they had assumed I’d be pushing for a long while since I’m a first time mom. I remember thinking Wren was half way out already from the way it felt, but they told me she wasn’t.
So, with the baby in the birth canal and her head crowning, they were telling me “DON’T PUSH! Breathe like this!”. So I was trying as hard as I could to breathe and not push, but the next big contraction came and there was nothing I could do to stop it. It’s incredible how your body just takes over. I remember saying, “I’m sorry but I can’t help it!”. Aaron said I had the most apologetic look on my face. So with that contraction, my baby girl flew out all at once! My husband videoed it and it really is amazing to see her fly out from head to toe in a half of a second. One nurse, who I later found out was on orientation, just barely caught her and the second nurse was still running over putting her gloves on.
Wren was crying right away and they set her on my tummy. The cord was around her neck, so I unwrapped it. You can hear them in the video saying, “Mom coming in clutch unwrapping the cord.” I guess they had paged the doc in the midst of all of that insanity, so she came in and started washing up and said “Ok, are we ready to have a baby?!” and the nurses were like, “Uh, she’s already here.” Wren was doing perfectly, so they let us continue skin-to-skin.
Once the doctor was washed up, she asked me to push once and she tugged on the cord (we will come back to this later) and my placenta came right out. At this point, I was bleeding pretty profusely. I was still pretty out of it from the pure exhaustion of labor and increasing blood loss, so I didn’t really know what was going on. They said they were going to give me more phentanyl & some local anesthetic and work on cleaning me up. They worked on me for what seemed to be about 30 minutes, but was apparently about 2 hours.
I don’t remember much from this part but I do remember that I got to keep Wren the whole time. I just looked & looked at her perfect little self. I also remember the doc counting how many gauze pads she was putting in and taking out of me and saying a few times that we might have to go to surgery. I didn’t have a clue what was going on but was honestly too tired and mesmerized to care. They finally got things under control and then explained to me what had happened. I’d had a partial uterine inversion… AKA: My uterus had tried to come out with the baby. I just barely escaped having to have a hysterectomy & I lost a lot of blood. The doctor was finally able to slow the bleeding and push my uterus back into place. Due to my blood loss, I was right on the edge of needing a blood transfusion however, the doctor said I could supplement with iron if I preferred, which is what we chose to do.
I had to stay flat on my back for the following 24 hours to ensure that my uterus wouldn’t try to come out again. I had to be spoon fed by Aaron or a nurse, use a bedpan, and breastfeed all while laying completely flat on my back. Thankfully, my amazing baby girl has been a champion nurser from day 1, so we were still able to establish a wonderful breastfeeding relationship. I also had the most amazing nurse who went way above and beyond. She stayed with me and chatted and helped with the baby when Aaron had to go home to take care of our dogs and get the house ready. She even brought me a more comfortable hospital bed from a different part of the hospital that had better beds. I am so thankful for this. Being flat on your back for 24 straight hours after labor & delivery is pretty miserable. Funny side note- she had noticed my nail polish color & liked it, so the next morning she came in to check on me and showed me that she’d gone and gotten hers done that color, too. We were instantly buds (I guess that happens when someone is literally dealing with your shit) & she truly made a huge difference in my experience.
My doctor came later that day & told us that we had been in a “true obstetric emergency”. I guess this isn’t something that had happened at this particular hospital before and she said that the OBGYN’s at the hospital had been talking about how to handle inversions in future situations. She also said that she was thankful to have previously worked at a hospital that dealt with high risk pregnancies, so she’d experienced an inversion before and knew how to handle it.
That day I also received a visit from the hospital CEO. He said that he visits different units in the hospital every day to see how things are going & that this was just routine, but I’m a little suspicious that it had something to do with our emergency situation.
The rest of our story is pretty simple… we went home that Friday, November 20th, 2 days after Wren came into the world. She was as healthy as could be from day 1 and was already at her birth weight again after only 3 days. I healed relatively quickly & my blood levels were normalized after about 3 weeks. My uterus has stayed put and I shouldn’t have any problems getting pregnant again (well not anymore than we already have).
The doctor did said say that I will likely not be able to have anymore natural labors. She said that a second uterine inversion is likely and since my first labor was so fast, I would probably have to have a “very controlled” induction at 38 weeks where they pull the baby out with forceps while someone holds my uterus inside me. This seems a little extreme to me and after further research, I’m not sure I’ll be taking her advice here.
So that’s our long, crazy, beautiful story of how we got our little baby bird, Wren Marí.
A few thoughts after my birth experience…
First, I think that the uterine inversion was likely caused by my doctor pulling on the placenta. That is a HUGE no-no & a known cause of inversions. Doctors KNOW this, so I’m not sure if she was just in a hurry or didn’t believe that it could really happen. I think she knew she messed up & I think this is also why I was visited by the hospital CEO. They are all very lucky that I healed well & won’t have any lasting repercussions from her actions.
I’d made a birth plan and given a copy to my doctor, but I wish I had made sure to go over each part of it with her. There are a lot of things that I wish we had done differently that I think would have made a difference in our labor & delivery experience. I think we could have avoided a lot of the drama.
Things that were in my birth plan that didn’t happen:
-I had a lot of things I was going to tell myself during labor that I knew would help me get through it. For example, “don’t fight against the contraction” and even something as simple and obvious as, “this is temporary & your baby girl is just hours (or less!) away.” I could NOT think anything at all during labor & I should have made sure Aaron knew these.
-I did not want my water broken. There is NO reason the waters need to be broken before the baby is born and I wish I’d just let my body do its job.
-I did not want to be told when to start pushing. I wanted to wait until my body started pushing on its own and push as my body directed me, rather than pushing as the doctors counted & instructed.
-I wanted to allow my placenta to come on it’s own. The body will contract again to expel the placenta without any direction from a doctor, and I feel pretty strongly that if this had happened naturally, I wouldn’t have had the inversion.
In the end though, we got a beautiful, healthy baby girl. She didn’t have any health problems as a result of our experience & for that I am SO grateful. I am hopeful that we will get pregnant again and that I’ll be able to use Wren’s birth experience to help us have a more drama-free labor & delivery.
If you’ve had a baby, do you have things you wish you’d done differently? If you’ve had more than one, do you feel like your experience with the first helped for the second or third babies? If you haven’t had kids yet, have you thought about how you’d like your labor & delivery experience to go? Share with us, we’d love to hear from you!