Monday, September 10, 2018

Brody's Birth Story Part 1: The Birth

At 40 weeks and 4 days pregnant, I was so done. I was emotional, exhausted, hurting and just ready to meet my baby boy. My body has shown signs of progression for several weeks, yet it wasn't kicking into active labor. I had done everything possible to prepare my body and get things going. I even dealt with a day of prodromal labor and was sent home after going to the hospital at 40+1. Luckily the following Monday was my doctor's appointment where we planned to discuss what the next steps were, and this is where our story begins...

10:45am: I had my final OB appointment where I planned to waltz in and beg her to induce me! And that is exactly what I did. My doctor came in and asked me how I was holding up. I told her that I concede and would love to just be induced as early as possible! {For those of you new around here, I really wanted to go into labor naturally and not have to deal with the evil pitocin. I was induced with my daughter and knew the pain of pitocin contractions. Since I wanted to have a medicine free delivery, an induction free delivery was ideal.} She said she'd call the hospital as soon as she checked me. She checked and I was still sitting at about 3.5cm dilated, but she could stretch me to a 4. I had been walking around at 3cm for over 2 weeks! She also did another membrane sweep to hopefully help jump start things before she went straight to her phone to call the hospital. Meanwhile we waited for the ultrasound tech to call us back to check my fluid levels. My doctor had said if they couldn't get me in today that she would schedule my induction for the following night which pretty much was my worst case scenario. I needed that baby out! Only a few minutes later, she called me back and asked if I could go to the hospital straight away. Ummm...OF COURSE!

11:10am: We went straight to the hospital which was only about 10 minutes away. First, we called my dad who was working from home to see if he could come grab Chloe. He had a call to jump on, but luckily my sister-in-law Corbette was there and able to come grab her for us from the hospital before driving back to San Antonio for work! Then we called or texted the rest of the family to let them know what was going on and where to meet us once they got to the hospital. I was also texting all of my friends like crazy letting them know this was the real deal. I was going to have a baby soon!


11:30am: While JP waited for Corbette, I checked into hospital! My mom was working that day, so she walked from postpartum to labor and delivery to meet up with me. {My mom is a lactation consultant and former NICU nurse at the hospital where I delivered!} I waited for just a few minutes in the lobby before they called me back to my room. Luckily the VIP Princess Suite was available and ready for me! It's not really called that, but that's my name for the room because it's the largest L&D room and it even has it's own waiting room area attached.

I got all dolled up in my super sweet hospital gown and was ready and excited to get things going!


12:30pm: After answering all the questions and getting situated in my room my Pitocin and Penicillin were administered. I'm GBS positive, so I needed two doses of Penicillin in my system before baby was born to ensure that I don't pass it onto him! While it's harmless to adults, it can be deadly to babies. My pitocin levels were started at a 2 and could go as high as 36, but they gradually increase it in increments of 2 to slowly ramp up your labor.

My awesome nurse, Stephanie, was very supportive of my desire to have a med free delivery and presented me with several options to help aid my cause. First she brought in wireless monitors! That's right, I didn't have to stay in the bed with two monitors strapped to my belly reading baby's heart rate and my contractions. Instead, I had them taped to my belly and they were waterproof in case I wanted to get in the bath tub. Then she brought out the yoga ball for me to sit on if it felt right. In my case, it definitely did!



1:00-5:00pm: These 4 hours are kind of a blur as far as exact times go. There wasn't really anything too exciting about them other than the fact that I was indeed in labor and my people started arriving. Contractions over those hours gradually get more intense, but are manageable. They started as mild cramp about 5 minutes apart and picked up to a more moderate pain in the first couple of hours. My mom came and went as she had patients, and my sister arrived around 1:00pm. You know what else came at 1:00pm? That awesome tray of goodness you see in the picture above! When I was induced with Chloe it was ice chips only. This time my doctor allowed me to have clear fluids! I was all about the jello, sorbet and apple juice. Thank you Jesus. I know those sugars helped me to keep my energy up over the next several hours.

Around 3:00pm, my in laws arrived at the hospital from College Station. It was nice to have another mother in the room with me!


During this time, I labored standing up or on the medicine ball. Laying in bed was easily the most uncomfortable position I could possible be in! As the pitocin and my contractions picked up, I had to focus more on my breathing through the contractions, but they weren't the incredibly painful contractions that I knew would be coming. I was just wondering why they weren't here yet! At 4:00pm my sister left for her OB appointment. Funny story, we have the same doctor! I had a feeling that once my doctor was finished with my sister's appointment, she would be headed my way to break my water.


5:15pm: Emily returned from her appointment and only a few minutes later, my doctor comes in to check me and I'm only 3.5cm still! It was incredibly discouraging, but I knew that after they broke my water that things would pick up since that's what happened with Chloe. Brody had plenty of water in my tummy, so he wasn't able to descend and put pressure on my cervix, until some of that fluid was gone.

Luckily after both my doctor and nurse checked me, my doctor did indeed brake my water. This is where things picked up. Immediately my contractions were much worse. Literally the very first one after my water broke was painful. Instead of breathing through my contractions, I was moaning through them. I knew I couldn't stay on the bed, and my doctor again was awesome and encouraged me to get on the ball or stand whatever I needed to do except get in the tub. I was thankful because some doctors would prefer you to stay in bed after your water is broken. She was so respectful and encouraging of my wishes!


The ball became my happy place and I found a nice rhythm with my support team. With each contraction, JP would press his thumbs {and eventually decided his fists would be better} into my lower back while I push back with counter pressure. I kept my hands on my mom's legs and she helped me to breathe or moan through each contraction. It was incredibly empowering. My sister was also in the room taking pictures as well as my mother in law who was encouraging me the whole time.


7:00pm: It was shift change, so my lovely nurse was leaving me and I was introduced to my new nurse who turned out to be equally as awesome. She checked my cervix and I had progressed to 5cm, I was completely effaced and my cervix finally moved to an anterior position. I was bummed that I was only 5cm though because I started to feel like I was going through transition. You can see in the picture above that I'm in quite a bit of pain and transferring into the bed was the last thing I wanted to do!

At this point, JP turned on the Astros game for some distraction for me and entertainment for everyone else. {Yes, this turns out to be an important tid bit of information!} Then quite rapidly things began to change in the room. I was in an immense amount of pain and began shaking.

7:15pm: In between contractions, I talked with my mom and sister and decided that 3-4 more hours of contractions like that would be excruciating for me. I didn't think I could continue on if I was only 5cm dilated! I called my nurse and let her know that I decided that I wanted an epidural.

7:30pm: The anesthesiologist was actually nearby and finishing up with another patient, so he was in my room in 15 minutes. Getting from the ball to the bed was intense. I was shaking uncontrollably as I was sitting on the bed, but my nurse was amazing. She got me situated in the place I needed to be and just help me and helped me breathe through everything. She held my head to her chest and just encouraged me and made me feel safe, Poor JP didn't know what to do, so he just sat on the couch while everyone sat in the waiting room.

Then all of a sudden sh*t hit the fan. The anesthesiologist stuck me twice with the shots of Novocaine when I said, "I need to push right now. I'm pushing!" Just 30 minutes prior I was only 5cm! The anesthesiologist quickly stuck me with the epidural needle and I honestly didn't feel a thing. I was slowly doing little pushes to relieve the pain and pressure I was feeling.


They laid me back down and the room got frantic. All of my people in the waiting room didn't know it was showtime. My mom helped my nurse get everything ready by calling the nursery while my nurse got my doctor and everyone else necessary. During this time, the anesthesiologist was able to push the smallest dose of medicine through my epidural to take off the edge. Essentially it allowed me to feel calmed down and it numbed my butt. I still had full control of my entire body and I felt every single push.


7:45pm: Speaking of pushing, it was less than 15 minutes after the anesthesiologist arrived that I began my real pushes! I was able to hold my legs and give it my all with each contraction. Some people say they don't like it when the nurse or doctor counts to 10, but honestly it really helped me to concentrate on what I was doing. Pushing felt so amazing. Don't get me wrong, there was pain, but it was the greatest relief after going through transition. After the first few pushes, my doctor asked if I wanted to feel his head! Ummm...ABSOLUTELY! It was the greatest feeling knowing he was there and feeling his head of hair. I gave another couple of pushes after that and delivered his head. Just one push later my baby boy was here! Despite his quick delivery, I didn't even tear.



7:56pm: James Brody Gougler was born! He was immediately place on my chest and my legs finally got a chance to rest on the stirrups. I was so completely in love and flooded with emotions. I went from ugly tears and joyous laughter!

During this time, the Astros game was playing in the background. We were down 0-4 against the A's before I started pushing. By the time I finished pushing and Baby Brody was here, the Astros were up 5-4! JP was so proud and told everyone that I was the Astros good luck.


Now times get really fuzzy, so I'll just share the details. After a few moments on my chest, the nursery nurse had to take him from me because of fluid in his lungs. He came so fast that he didn't have time to descend and push the fluid out of his lungs. They suctioned 18 cc's of fluid from him, monitored his breathing, wiped him down, weighed and measured him!



Brody's grandpa arrived as I was pushing, so he was stuck out in the waiting room with the other gentlemen until I was decent. As you can see, he was itching to come in!


They only had Brody away from me for a few minutes. It didn't bother me too much because he was in the room and my mom was helping. Knowing she was there with him gave me a sense of ease. It's kind of funny because in all of these pictures, she looks like she's one of the nurses working since she had been working earlier that day!


While Brody was on the warmer, I easily delivered my placenta with a little push and no problems at all. I asked my doctor if I could see it, and not only did she show it to me, but she explained the different parts to me and my sister. It was so neat and fascinating. She also gave me one stitch because there was a loose piece of skin that she wanted to encourage to tighten up, so although I didn't tear, I had one stitch down there. The difference in the healing process tearing vs not tearing is incredibly different. I feel like I'm healing so much faster this time!

The only issue I had with Brody being away from me was the uncontrollable postpartum shakes! I was shaking like crazy when he wasn't on me. I needed him to help regulate my hormones!


James Brody Gougler was born at 7:56pm in Sugar Land, TX. He weight a whopping 8lbs 7oz and was 20 1/2 inches long.



My mom was able to hand him to me after his examination. If my mom hadn't been there, Brody would have gone to the NICU. It's standard procedure to take them if they have a certain amount of fluid on their lungs, so thank goodness for my mom and her expertise. I would have been devastated if he had to leave me!




After some skin to skin bonding, it was time for Brody's first breastfeeding session! How convenient to have a lactation consultant in the room with me. I was so overwhelmed with emotions that I kind of forgot what to do! It was nice to have my mom there to help with the first feed. After that, everything came naturally to me again.



Needless to say, Brody is a natural and a pro at this breastfeeding thing just like his sister!


Once we were situated, the whole gang was let in to meet the newest grandson and nephew! But I'm going to stop here for now. I promise to come back with Brody's Birth Story Part 2: The Recovery soon! I still have so many pictures and stories to share, but this is the perfect stopping point. My baby is here and we are so in love! 

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