June 22, 2015

A few warnings… 

  • *potential trigger* This is Felix’s birth story
  • It’ll probably take you longer to read my birth story than it took for the actual birth story to happen. I didn’t want to forget a thing.  
  • I don’t skimp on details, gross or not.  Take heed if you’re squeamish.

I first started feeling contractions in the late afternoon/early evening. They didn’t faze me because I had very similar contractions the previous weekend and they went away. Plus I was early- 36 weeks and 6 days. This baby had no issues, s/he would likely come closer to the due date. I had already discussed a plan with my midwives. I really preferred not to be induced, plus I had no medical indication for induction, but I knew my anxiety would start skyrocketing as we approached my due date. I also knew that birth doesn’t always go as planned (a lesson learned by my patients and with Mabel) and so I didn’t have many specific wishes on my list when it came to labor and birth this time. I knew these things:

  1. I didn’t want to go past 41 weeks (and there’s medical reason to be induced then)
  2. I wanted my midwives to sweep my membranes starting at 39 weeks, and they agreed. I had two appointments scheduled back to back to do so (and I was going to have my midwife friends I work with give it a go too! I knew I’d be wiling to have practically anyone get their fingers up and in there if it got things started naturally)
  3. I wanted the gas! I wanted to try to avoid the epidural this time. I had one with Mabel, which I still have mixed feelings about. As a midwife, I had some expectations of myself- believing I could have had a drug free childbirth. And under different circumstances I probably could have. I console myself, reminding me that birthing a child that would likely die changes everything. Expectations go out the window. BUT this time, expecting a child that would live, I hoped to avoid it- to prove to myself that I could do it. I’d accept nitrous oxide because to me it felt like a minor intervention- and it was NEW at our hospital. I frankly wanted to know what it felt like so I could tell people. I made it clear to anyone who would listen- I wanted the gas! I even had the consent form in my purse so there would be no delays!

And that’s about it. Seemed reasonable. I also thought this labor would be longer than Mabel’s. My midwives warned me it would likely be fast, because Mabel was fast for a first baby. But I thought otherwise- this was going to be a bigger baby, likely 8-10lbs if I went to my due date and I thought the size would make the labor longer (ignoring the general obstetric knowledge that second babies usually come FAST).

So when I started contracting, I thought little of it. They weren’t painful- I called them pressure contractions. I felt them in my butt as pressure that was somewhat uncomfortable but not debilitating. I was still able to function- walk and talk. I went grocery shopping, cooked and ate dinner, watched tv. Chris said occasionally I’d shift and make a small groan for a second but he wasn’t concerned either. At one point while watching tv, I downloaded an app to time them. They seemed regular and I was just curious how frequently they were coming. After hitting the button a bunch of times I looked at the app and saw they were basically 2 minutes apart. And then I stopped timing. When I relayed this story to a friend, she asked “why did you stop???” Because the timing of the contractions wasn’t going to make me call my midwives- I needed to be in pain as well. When they became painful- unbearable- that’s when I’d call. I also knew if I called them at that point (regular but just pressure), we would all agree that I was either dehydrated from the earlier road race (likely) or at most was in early labor and I should drink water and call when I was in pain. So I was my own midwife and drank water- and a glass of wine (a well known obstetric trick to stop contractions). After a second episode on Netflix, I decided I was ready for bed.

I fell asleep with the help of unisom (what I would usually take after a day of intense exercise- because the bone pain would be so uncomfortable I needed some help to sleep somewhat through the night.) I dropped into sleep pretty easily, woke an hour later to pee and fell back asleep again. It is also well know that you don’t sleep through labor- so I knew I wasn’t in real labor yet.

I remember waking up at one point with an intense pressure contraction in my butt- intense enough to put my on my hands and knees and breathe through it. Though when it was over, I fell right back asleep. It happened a second time (how many minutes later? I have no idea- I didn’t even open my eyes to look at the clock to time them) and this time Chris heard me and asked if I was ok.

“Yup. I’m fine. Go back to sleep”

And so he rolled over was snoozing pretty quickly. After it was done, I did the same.

The third time it happened I felt a little pop and small gush of fluid.

I was instantly brought back to when I first noticed bloody show with Mabel. At the time I cried “I’m not ready!” I had such similar feelings this time, though this time for some different reasons- I had a bunch of work deadlines July 1, which was over a week away and so I truly wasn’t ready. We hadn’t installed the carseat or packed a hospital bag. And in truth, though sometimes I would admit to wanting to hang up my pregnant belly for a few hours, I wasn’t done being pregnant. I loved having a big belly and being publically pregnant. I was so busy with my two jobs that I hadn’t mindfully spent time bonding with the baby or nesting.

I stood up out of bed and said to Chris, “I think my water just broke.” Not having had the experience with Mabel since she had no fluid, I still was hoping the little pop and little gush was just discharge or something. But then I felt a huge gush while standing up. “Yup. It did, “ I affirmed.

Chris jumped out of bed. “Ok! What do we do?”

“Nothing,” I said blandly, “we wait for labor,” knowing that since I was GBS negative, the water seemed clear and I wasn’t in pain, my midwives would say call in the morning or when I’m contracting up a storm. (That’s essentially what is stated in their written directions- so I wasn’t taking too many liberties with myself, just simply following the instructions). “wait- what time is it? That’s important.”

“1:45” Chris said, looking at the clock.

Before I waddled into the bathroom to clean myself up, I looked at Chris and said somewhat sadly, “I’m not ready.”

“It’ll be ok,” he reassured me.

While in the bathroom, I shouted to Chris “Remind me to change my top! I don’t want to go to the hospital in this bra.” I was wearing a old sports bra and wanted a newer one, frankly, to look nicer in those laboring and immediate post birth photos I imagined. I always thing of the green striped sports bra as Mabel’s because it’s in all the photos I have with us together. I even thought that might be the one I wanted to wear.

But a moment later I was forgetting all about what I was wearing. As I stood over the toilet, the first real contraction hit like a brick.

It. Was. Blinding.

With Mabel, I had early labor that quickly morphed into active labor within two hours. There was a rev-up period, where each contraction got a bit stronger and stronger. This time was different. This contraction was off the charts.

I’m going to need an epidural. I thought. I knew I had SO MANY more contractions to go and if they were that bad, I would need real pain relief. As it began to subside, I started sweating profusely- so much so that the floor was getting wet and slippery. Chris grabbed me a fan and plugged it in and then retrieved some ice packs for my neck and forehead.

After it left, I sat back down on the toilet, emptying myself- figuring my active bowel was part of the start of labor. I felt nauseous so Chris found me a trash can to vomit in, remembering how I threw up all the sushi and ice cream we ate before I went into labor with Mabel.

After what felt like seconds later, another contractions hit. I stood to withstand the pain, letting moans rise up from somewhere deep inside me. Chris says I’m noisy in labor and he’s right. At the peak of the contraction, I literally thought I’d pass out from the pain. As it began to leave I thought:

I want to call my midwives! This pain is so bad! But I can’t call my midwives. I’ve only had two contractions. No one calls after two contractions. Especially not a midwife.

The third contraction hit and the room was a blur.

How am I going to get into the car? I can’t even move. How will I survive the thirty minute drive to the hospital? I was thinking how I still had hours to go before birth. It seemed impossible.

As the fourth contraction peaked and released, I looked at Chris and grunted “Call! Midwives!” I was done. This was just too much! I put embarrassment aside and called my midwives after ten minutes of labor.

When Chris got the answering service, the operator asked what was happening. I heard him say calmly, “My wife broker her water,” and I quickly interrupted him, yelling.

“no- I’m in LABOR!”

I knew that getting the message about water breaking might not seem urgent, but labor would get a quicker call back. Luckily, the operator just transferred him directly to my midwife- the same one who delivered Mabel, in fact. Chris put her on speaker.

“What’s happening?” she asked.

“Well, Meghan’s broke her water, “ Chris started to tell the midwife the details about the timing and how my contractions started just after.

I interrupted again with the next contraction.

“I’m puuuushing and I feel the head!” I had reached between my legs and felt the hard tip of a baby’s head and found myself involuntarily grunting and bearing down.

“Chris, you need to call 911,” my midwife instructed him. Apparently this was only the second time ever in her career she instructed a patient to do so. She had him keep her on speak and he went to the bedroom to grab his phone and dial emergency services. While he was walking back to the bathroom, I called out.

“Chris!!!”

I felt the head coming. I had two thoughts as the pressure of the head pushed against my skin. First I wondered if I should get in the bathtub- would it be easier/cleaner to deliver the baby there? I didn’t take into account the fact that I had been physically unable to move an inch due to the pain. The second thought I had was which way I should flex the head. As midwives, when we deliver babies, we often put a little pressure on the head in one direction to flex it- making the diameter of the head a tiny bit smaller and hopefully reducing tearing. I put my hand on the head as it crowned- trying to flex it (in retrospect- I was flexing it the wrong way! Hah!)

Chris heard my call and rushed in juggling the two phones trying to get 911 on speaker.

“What can I do?” he asked me.

In a voice I didn’t recognize as my own I said to him “CATCH! BABY!”

And with that final word, I felt a slippery wet little being slip from me as my skin tore. As I stood over the toilet, unmoved from when I first entered the bathroom, I instinctively put one hand between my legs from the front and one from the back, like I was dribbling a basketball between them, and caught my baby as he slipped from me.

“Eh! Eh!!” my baby squeaked, announcing his safe arrival.

“Oh my gosh! Oh my gosh!” I laughed, unbelieving that the pain was over and I actually had a live, squirming baby in my arms- one that breathed!

Chris handed me a towel and I wrapped the baby in it as I sat back on the toilet, still in shock. I suddenly had a realization and I held my baby away from me, looking down.

“It’s a boy!” I said, laughing again. My instincts were right the whole time.

“What’s his name?” my midwife chimed in.

“Felix. Felix Odom,” we told her.

Chris asked what else we should be doing.

“Nothing! He’s crying which is a good sign. And I’m sure Meghan is holding him skin to skin.”

I looked at Chris, eyes wide, and quickly brought my baby to my chest. I had been holding him away, mesmerized at his little body and boyhood, that I forgot abut the first thing we do after birth. I held him skin to skin after hearing my midwife’s words and Chris brought me a dry towel to keep him warm.

Moments later we heard a female voice calling, “Hello?” from downstairs. At some point Chris had run down and unlocked the front door, as instructed by the 911 operator.

“We’re up here,” Chris shouted and we were shortly joined by Gretchen, one of our local town cops. At first I thought she was an EMT- her uniform looked more like that of an EMT than a police officer. It wasn’t until later that I learned she was an officer.

The EMTs soon followed and began telling me what would happen next.

“Well, first we’ll cut the cord and then you have this thing called your placenta…”

My midwife was still on speaker phone on the counter right by my ear. “Meghan,” she instructed softly, “tell them you’re a midwife.”

I hesitated, worried what everyone there would think- this midwife trying to have a homebirth on her own.

I looked up at the EMTs and officer and said sheepishly, “I’m a midwife. But I didn’t mean for this to happen!” I explained how I wanted the gas- our hospital recently instituted nitrous oxide (or laughing gas) as a method of pain relief (those who watch Call the Midwife might be familiar with “gas and air”). I reaaaallly wanted to know what it felt like and be able to tell my patients and colleagues. I had even procured the consent form ahead of time and was carrying it around in my purse so I could have it as soon as possible in the birthing room.

I then took the lead in my bathroom-birthing room. The EMTs handed the cord clamps to the cop who was closest to me and I showed her where to place them as I milked the cord. “I’d like my husband to cut the cord,” I instructed. The EMTs handed a scalpel to chris, letting him know which was the sharp end, much to his chagrin. And with a little swipe of the scalpel, my son became his own entity. I was able to lift him up (his cord was short and so I couldn’t lift him too high until then) and really see him.

As I held him, the EMTs were bustling in the hall- doing I don’t know what- and I made small talk with the cop.

“Is he your first?” she asked

“My second.”

And then she asked a question that made me respect her even more. “Oh, where is your first?” A good police officer, ensuring the safety of everyone!

“She died last year.”

She relayed the appropriate “I’m sorry” and I said the first of many “And so we are so lucky to have him”s

Soon enough I realized my placenta was ready to come- I felt the telltale signs: gushes of blood, cord lengthening, pressure. I looked at the cop and said,

“I’m ready to deliver my placenta now. Can you help?”

I saw a glimpse of panic and excitement in her eyes, but she said okay in her calm, officerly way. I explained that I was going to stand up and push and have her catch the afterbirth, but we needed something for her to catch it in. I asked for a chucks pad, but the paramedics were insistent on a bowl. I found this humorous as the traditional way to catch a placenta is in a bowl. I was even symbolically given a “placenta bowl” when I went off to integration in midwifery school. So after the paramedics became intimately acquainted with my kitchen cabinets, a bowl appeared (funnily not the midwifery school placenta bowl”, and the police officer caught my placenta in a chucks pad, as I requested and then it was put into the bowl. Everyone was happy.

The paramedics then helped me into a chair contraption to carry me down stairs and on my front step they transferred me onto a stretcher. Wrapped in a sheet, I was loaded into the ambulance to be transferred to the hospital.

As I sat on the stretcher, my baby boy skin to skin in my arms, I realized that I was still wearing that ratty sports bra. It was the only thing I didn’t want to wear to the hospital and lo and behold it turned out to be the ONLY thing I actually wore to the hospital.

In the ambulance, I reminded them to take me to my preferred hospital, since it was 20 minutes farther than the closest one and where my midwife would be waiting. The paramedic reached for IV supplies and I stopped him.

“Is that for an IV?” I asked. Once he nodded, I said, “I’m going to respectfully decline, thank you.” My midwife’s last words on the phone to me were to remind them to take me to the right hospital and that I could refuse an IV if I wanted. Her patient population often forgoes an IV in labor because there isn’t really a reason for one unless there is a medical need (like pain medication, Pitocin, high risk issues, etc). Both of us chuckled later, thinking how I probably shouldn’t have refused, being that I was known to be anemic and had a precipitous (ie extremely fast) birth, both are good reasons for an IV because of risk of hemorrhage. Luckily, I was stable, and also happy that I was IV free.

Upon arriving at the hospital, I was greeted with familiar faces, those of nurses I have worked with for years, despite not having delivered babies for a year and a half. I saw the look on the face of my nurse, a sarcastically funny woman who I had seen grow from a new nurse to one in charge.

“Meg…” she began, calling me by my shortened name that a few people use.

“I didn’t mean to!” I cut her off. “I really didn’t! I was asleep! I woke up and 15 minutes later he was here!” I knew that my story would cause much of my community to think I waited too long- tried to do most labor at home and then it got too late. “I wanted the gas!” I told her.

As my midwife examined me, I told her and the nurse the whole story. I was supposed to have an appointment with that midwife two days later. I told her I had the consent form for nitrous oxide in my purse and was going to give it to her at my next visit. As my midwife put in some stitches, she offered me gas for pain relief, but I declined. I had wanted to see what it did for labor and now that my baby was here I didn’t want to be affected. I opted for the traditional lidocaine. I had a bigger tear than with Mabel, unsurprising because of Felix’s fast entry into the world and his weight. At the hospital we learned, weighing in at 7lbs 3oz, he was almost 2 pounds bigger than Mabel.

As the repair was under way, I asked my nurse which other nurses were on the floor. She told me and when I heard one name, I lit up. “Is she busy? Can you tell her to come by and say hi?”

When I was put all back together, the second nurse popped her head into the room, beaming. We laughed together as I told her the story. And then we took a photo, me, Felix and her. I felt warmed that Felix could meet Mabel’s nurse.

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Not your typical Father’s Day….

*SENSITIVE*

I thought I knew what I was going to post here last sunday.  Father’s day- an important day in our house.  Chris did such a good job with Mother’s Day, that I wanted to make sure his Father’s day would be just as good.  He woke up to several presents.  Muppet gave him a card and a treat stick so that her favorite dad could keep giving her treats (she’s such a puppy!).

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The pea (our nickname for the little one on the inside) gave him Jimmy Fallon’s book “Your first word will be dada.”

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And Mabel and I gave him a massage gift certificate, as a reward for his 100 mi Best Buddies bike ride and half iron man done recently.

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We then went on to run a local road race.  We ran it last year, and in many of the years previously.  It’s a fun run, 5miles, passing along the water in Connecticut, with lots of onlookers and cheerleaders, ending in a festival.  And running a race this far pregnant was awesome- so much enthusiasm and cheering from the crowd.

At one point a woman cheered us on from her balcony and I looked up and smiled.  A moment later she said “Hi Mabel!”  I did a double take- confused, wondering if I knew this woman.  Then I realized she was talking to the people across the street with their dog.  I stopped and asked the people if their dog was named Mabel.

“Yes! How do you know Mabel?” they asked me.

“I don’t.  Mabel was my daughter’s name,” I replied as I pat their dog and then moved on.

Chris finished in about 45 minutes and I chugged a long in a jog/walk pace, finishing in about 75 minutes.  I’ll have you know, at 36weeks and 6days, I was not the last one to finish!  I finished 1439 out of 1460 :).

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Of note, I had discussed this race with my midwives beforehand and got clearance to do it if I stayed hydrated- note the water bottle in hand.

 

Chris and I post-race selfie

Chris and I post-race selfie

I was a little inspired by the woman who ran a marathon at 39 weeks a few years ago and then went into labor- half joking that maybe it’ll do it for me (half joking because I was far from ready for labor and a baby- lots more logistical and emotional work to do beforehand).

We spent the rest of the day doing errands and house things.  I was somewhat limited because of the extreme soreness I had doing all that jogging (still with the pubic bone pain this time around).  I was having some mild pressure contractions- not painful- like I had had a week before, though I thought nothing of it because I figured I was still a little dehydrated from the race and they weren’t painful.  After a dinner of Chicago pizza (literally from Chicago- a gift from Chris I had been saving.  Deep dish Giordano’s pizza shipped frozen for my birthday) and an hour or two of tv we went to bed and I fell asleep.

Then this happened:

http://www.myrecordjournal.com/news/latestnews/7424113-129/cheshire-mother-delivers-baby-unexpectedly-at-home.html

At some point I’ll take a minute to write down the whole birth story in my own words.  It was so fast, I’m still processing it all.  I am extremely grateful that all turned out well.

So I’d like to take a moment to introduce:

Felix Odom Constantino
Born 6/22/25 at 2am
At home, on the toilet, into the hands of his mother! (By accident after a VERY fast labor)

7lbs 3oz, 20inches

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Mabel’s Birth: Part I “Denial”

Thursday night I tossed and turned.  I woke up many times with a backache and abdominal pain that made me breathe and moan a little.  I figured it was gas (my chicken shawarma sandwich the night before did smell a little funky to me) and typical hospital bed associated back pain.  So in the morning I got up and tried a few things to help with my back.  I used my trusty rice pack- a homemade cloth bag filled with rice that I microwave so that it acts like a hot pack.  It helped a little.  I tried some stretches my chiropractor had recommended for lower back pain.  It helped a little.  I started aggressively hydrating- maybe I was dehydrated, which can cause cramping. Finally I decided to do a full on yoga session- which really gives me a good stretch.

My high risk doctor came in the middle of my yoga, so I stopped and we had a nice donut break.  I told her that I wondered if I maybe had some Braxton Hicks overnight.  That or gas.  I apparently was really stuck on the idea that it was gas pain.  We laughed, had some munchkins, and I went back to yoga.  I took a hot shower and notice what might have been the tiniest bit of bloody show.  I became a little worried- wondering if my body could actually be doing something.  I wasn’t ready!  We had just come up with a new plan- since the baby had been doing so well, we were going to let me stay pregnant until 39 weeks.  I had started telling work and family about the new plan- and was really quite excited.  I knew that meant two more weeks in the hospital, but if there was any benefit to the baby I’d do it.

In the shower, as I put the pieces together- the cramping and backache I was feeling plus maybe some show- I got nervous.  I had a little cry and told the baby the words I had told her after my CVS.  Stay, baby, stay.  When I put myself back on the monitor and adjusted the belts, I could see I was actually contracting, every few minutes.  They weren’t strong, but they were there.  I ordered lunch- I wasn’t particularly hungry (the donuts from my doctor did that), but on the off chance that these contractions really meant something, I knew I needed some energy.  And I really pounded the water.  Over the course of the day I drank 4-5 liters.  After seeing what looked more conclusively like bloody show- I called Chris at work.  I told him what was going on- I was contracting but I wasn’t in actual labor and maybe he should come straight here after work rather than running home and getting take out (it was Valentine’s Day- we had a nice hospital date planned).  He suggested I let my midwife know.  I debated, because I knew I wasn’t in actual labor, but this was something very new.  I had such an easy physical pregnancy, having this pop up was so unusual.  Also, I had been watching how the baby was doing on the monitor with the contractions.  We all expected the baby to have some dips or distress with contractions because of the lack of fluid.  My baby, per usual, was awesome.  Clueless that anything was happening.  I figured I could tell my midwife that, if nothing else.

So I called her up- told her I’m having some mild contractions, that I’m not in atcual labor (she could tell that just by listening to me), that I had some bloody show and that the baby was tolerating it all fine.  I cried to her on the phone, telling her “I’m not ready.”  She assured me that many women contract at 36 weeks, and the show can be normal too.  It doesn’t mean the baby is coming.  All things I knew, but it’s hard to be your own midwife and it helps so much to hear it from someone else.  We agreed that she would come by that evening after she was done in the office.  I can’t remember exactly what I did to pass the time- I think I watched a documentary, texted a bit with some family.  I might have mentioned that I was having some Braxton hicks, but no big deal.  I started feeling better- contracting less.  So I even told Chris to go home after work, get what he needed and pick up the take out we were planning- sushi!  (cooked rolls).  Also, we had ordered a baby blanket, which was at home and I thought, just in case, we should bring it in.  While he was off doing that, my midwife came and I was still feeling a bit better.  I think I had one or two contractions in the 30 minutes she was there.  We decided not to check me.  I say “we decided” because it really was a joint decision- we talked about how would I feel mentally if I knew I was dilated.  Since I clearly wasn’t in active labor, knowing how dilated I was wouldn’t change anything, except maybe worry me.  Our plan was wait and see and for me to take an ambien that night for sleep.   Later she told me she thought this was the early stages of labor, but figured the excitement would start later that weekend.  I on the other hand, was still in some sort of labor denial.  She didn’t check me, so clearly I’m not in labor.  We can go back to normal.

Chris arrived and we had us a nice date- ate our sushi.  We planned on watching the new season of House of Cards.  But first I wanted ice cream.   My contractions had started back up- but still mild and I kind of wanted to go for walk.  I hadn’t really been off the monitor that day yet and walking would be a little test.  As a midwife, I often send people walking when they are in early labor to see their contractions get worse while walking and better with rest.  So we walked to the lobby and got a pint of Ben & Jerry’s Peanut Butter Cup ice cream and walked back.  Back in the room, resting, my contractions did not get better; they became a little worse (stronger, more frequent).  In my labor denial I continued to eat my ice cream trying to ignore it all.  I wasn’t ready for this baby to come. I had just got my head around a 39 week delivery. I had barely started my hypnobirthing CDs.  36 weeks felt too early!  And as much as I wanted to know what would happen with my baby, there is some comfort in uncertainty- there is still hope.

But babies come on their own schedule.

As things picked up, I became more uncomfortable.  I found myself on hands and knees in the bed (a common laboring position).  I was breathing and moaning pretty consistently through them- every 2-5 minutes.  I told Chris tearfully between contractions “I’m not ready.”  My nurse came in, saw what was happening and tried to assess my pain level.  I called them a 4-5/10 and she gave me a look of: really? Because you look more uncomfortable than that!  But I have never really had pain before, I’ve seen people in transition and seen what a 10/10 and I knew this would get far worse.  She asked if she should call D, my midwife.  I hemmed and hawed over it- I didn’t want to call too early, but I could see the nurse was concerned.  So I told her to call my midwife, update her and see if she wanted to talk to me.  (of course she did).  So as I was on the phone with her, I explained things picked up and I think this might be the start of labor. I told her I wouldn’t have called her if I were at home- I would have gotten in the shower, but since I’m tethered to the monitor (which was bothering me a bit), I didn’t know what to do.  I felt like when I was on the phone with her, I could suddenly talk through my contractions (I hadn’t been able to before), so I was afraid I was jumping the gun.   I think she was surprised to hear from me so soon- I had seen her only hours before and was fine.   But she asked if I wanted her to come in “I don’t want to cry wolf.  I don’t want to be a fingertip!” (A fingertip means I’d be ½ cm dilated- very very early and in my head would be embarrassing as a midwife)  But ultimately, yes, I wanted her to come in.

I remember Chris saying "I'm not sure you're going to  like me doing this," as he reached for the camera.  Very glad he did.

I remember Chris saying “I’m not sure you’re going to like me doing this,” as he reached for the camera. Very glad he did.

I’m glad she did.  I joked with her later that she was a human tocolytic (contraction stopper)- when she came or called my contractions were less.  When she wasn’t there, they were worse.  In the time in took for her to get there, things ramped up more.  I couldn’t sit down- I had to stand or be in hands and knees. I was moaning consistently through my contractions. I vomited up the sushi and peanut butter ice cream.  I think I was beginning to realize that this might be the real deal.  When my midwife arrived, she checked me and I was 4cm/80%/-1.  I was entering active labor.  The good news was: I didn’t cry wolf, I wasn’t a fingertip, and I could be transferred to the labor floor- where they were better equipped to help someone in labor (and I could get in the shower with their portable monitors).  The bad news was: the baby was coming and I wasn’t ready.  I was so so scared.