At 37 1/2 weeks, and mere days after we had moved out of our house and into a rental my water broke at 5 AM on a Monday morning. I had been on call all weekend and had just got called in for the third time that night. I got up to get dressed and was wet. It wasn't a crazy amount, but it was pink, so I figured it was my water. I told Marcus I was heading into the hospital and what I thought was happening. I wasn't having any real contractions, so I could scan my patient and myself and then decide what to do. I scanned myself right away and my amniotic fluid was low. I casually mentioned it to the ER doc when I went to get my patient and he told me I needed to get admitted there or head to Boise if that is where I was delivering. I called my co-worker to explain and headed home. We dropped off the kiddos at a friends house until Dana could get here and Marcus and I headed to St. Lukes.
Once there, the nurse checked me and said it didn't test positive for amniotic fluid. I was pretty darn sure it was, but felt silly nonetheless as I started doubting myself. She called Dr. Lovelace and he had me come over to his office. He checked me and said it most definitely was and sent me back over to be admitted.
I was started on pitocin as Marcus left to get me some breakfast. The contractions started kicking in but were manageable. As the pitocin increased, I started getting more and more uncomfortable, until I just couldn't relax anymore in between contractions and asked for an epidural, I was dilated to a 7. The epidural was placed but was not kicking in. I was begging for relief and asking for assurances that it was going to work before Nixon came. After a couple bolus injections, I was finally numb. It was good timing because I was now at a 10 and ready to push. Pushing was very similar to Metta's delivery. I would push, they could see his head, they would applaud my efforts and tell me he was coming soon, but I just couldn't get his head under my pubic bone. Pretty soon my toes started to wiggle and then I could feel my legs and then those blasted contractions. And back I was to begging for some relief and crying. The anesthesiologist was called back, he pushed another bolus, but nothing. They gave me a shot of something else, but still nothing.
At this point, my nurse got in my face and basically told me if I wanted the pain to stop I needed to dig deep and push this kid out. So, I got angry and did just that. (I guess the anesthesia wearing off was a blessing because I don't think I knew how to push when I was numb) Of course, the doc had left the building with the promise he was only sixty seconds away when the time came. I wasn't allowed to push after I got his head somewhat out, which is torture in and of itself. He was more than sixty seconds away and I let them know what I thought about that.
After pain that I was not sure I could bear and some vomiting it wasn't long before Nixon came out. I got to cut the cord just like I did with the other three. I swear Marcus was in the corner the whole time, but he promises me he was by my side for the most part. I do remember begging for ice and Vaseline for my lips and it was placed in my hands by someone, so I guess I believe him.
Nixon was a whopping 5 lbs 10.8 oz. They placed this sweet boy on my chest and I cried and cried. It had seemed so traumatic (had I only known more trauma was to come) and I felt very emotional. His little head was misshapen and he appeared to have red hair..........what?! Very unexpected and fun. My doctor began massaging my uterus to expel the placenta. This was unpleasant but not unbearable. I just kept holding Nixon and crying out of relief and gratitude. The massaging got more intense and I was asked if the nurses could take Nixon. I politely declined and told them holding Nixon was distracting me from kicking the doctor. A few minutes later, I did hand over Nixon. My placenta was attached to the uterus most likely due to the twin that died and adhered to the placenta wall. The doctor was going to have to manually extract it. This is where things got ugly. He tried a couple times to literally scrape it off with his fingertips. It was unbelievable pain. I was trying to get away from him by pushing myself further and further up the bed. At one point, I kicked him in the face. He stopped and called the anesthesiologist back in to give me pain meds. That didn't work. I was bleeding out because they couldn't give me the pitocin to help my uterus contract and stop bleeding until the placenta came out. I asked him how long it would take to get the placenta out. He thought less than 60 seconds. I told him to get it done and I would try my best to hold still. It was terrible. I cried and begged over and over for him to stop. He was literally up to his elbow in me. My placenta was fundal which means it was up at the very top of my uterus and the top of my uterus was near my diaphragm. You get the picture. Finally it was over. I had bled a lot. Not enough for a blood transfusion, but darn close. The next two days, I had a hard time walking because I was very light headed and weak. But an iron transfusion and time healed all.
Nixon took to nursing right away just like Metta did. And he was and still is pure heaven. I'm a lousy calver and a self-proclaimed wuss, yet babies are so worth it. I still can't believe I have 4 kids!