family, motherhood, pregnancy

8 Reasons Why a Scheduled C-Section is Not the End of the World

c-section

When my OB/GYN laid out the possibilities for the delivery of my breech baby, I was devastated. A planned C-section was the safest option. And absolutely not what I wanted.

I had my plan. Visions of calmly laboring in the tub while soothing music played in the background had danced in my head for months. I wanted the room to be dimly lit and relaxing with Christmas lights aglow. I did not want my baby to come into this world in an OR.

I originally thought a scheduled C-section was the end of the world. I broke down and cried and felt all the hormonal emotions when I found out that my dream of laboring in that hospital tub with Christmas lights all around me would not become a reality.

But much to my surprise, I became the loudest cheerleader for C-sections after experiencing my own. Here’s why:

1. No Labor

I have a low pain tolerance. In fact, I found pregnancy itself painful. But what is more pain than general pregnancy discomfort? Contractions. Or so I’ve heard. The worst that I had to deal with were mild Braxton Hicks contractions. But childbirth has a reputation for being painful for good reason. And with a planned C-section, you get to avoid that.

2. No Tearing

When a baby arrives via a Cesarean incision, that means there will be no vaginal tearing. My daughter didn’t take the usual “path” and that was A-okay. Why? It turns out that she was born with a head in the 99th percentile for circumference. There would have been tearing if she had taken the usual way out. Personally, I’m glad she didn’t.

3. Recovery is (Sometimes) a Snap.

Of course, all recoveries are different because all women are different and have gone through different pregnancies. But with a little help from the pain meds I received at the hospital, I felt ready to be active again after about a week. I ran a 8K race just five weeks postpartum. Family members regularly told me that I should slow down, but I was listening to my body. I felt fine, almost completely normal. And I have a little scar below my belly button to thank for that.

4. You Get to Plan Everything

Type A mamas rejoice! Knowing exactly when you will have your baby means that you can plan ahead. This means you can have your house clean, your hospital bag fully packed, dog-sitters arranged, and even know the schedule of who is visiting the new baby the first few weeks. This was a huge benefit for me personally. Once we knew when the finish line was coming, all the arrangements could be made with a firm timeline. No more waiting and wondering.

5. No Rush to the Hospital

It’s a surreal feeling to park in the hospital parking deck knowing that you will leave with a baby, but not being at all in a hurry. I casually walked inside and even had time for photos along the way. It’s stress free. There were certainly no worries of having the baby in the car on the ride to the hospital when I wasn’t in labor.

6. Relaxed Atmosphere in Surgery

This is not the case for all planned Cesareans, but in many cases the surgery will be fairly routine. My OB/GYN chatted throughout the process, keeping me relaxed and at ease. In my experience, the explanation of a C-section sounds much scarier than it actually is.

7. It’s Faster

I have friends who suffered through labor for days and pushed for hours. But the C-section process took about an hour from getting a spinal at the start to being sewn up and wheeled back to the recovery room with a sleepy, pink newborn in my arms. After nine long months of waiting, it’s like you get an express lane for a baby. No harm in that.

8. The Result is the Same.

This is the main point: at the end, you still have a baby. On October 24, 2017, I became a mother. And on that day, I learned it doesn’t matter how your baby enters the world. What matters are the moments to come.

A C-section isn’t the end of the world. It’s the start of a little life who becomes your whole world.

family, motherhood

Our Birth Story

emmanuella-hospital-3I’ve been meaning to write this blog for awhile but have put it off for several reasons:

1. I have a newborn. Time is not on my side right now (I’ve take to blogging on my phone while nursing and pumping).

2. I was on a lot of drugs so the details are very fuzzy in my memory.

3. Emmanuella was a scheduled C-section. How much of a story can there really be when her birth was planned?

I think it’s that third point that made me hesitate to write this blog at all. But Emmanuella deserves to have her story documented, even if there were no midnight contractions, no rush to get to the hospital, and no pushing. One day I’ll share this blog with her and tell her how she came into this world, even if the story would not be considered exciting by most.

My Breech Baby

Emmanuella’s birth story actually begins a week and a half before her birthday. Dustin and I went to our 38 week appointment¬†and discovered that our baby was breech. The hard lump that I felt in the middle of my stomach was not her butt as my OBGYN had suggested months earlier; it was her head. Dr. Pendlebury did a quick handheld ultrasound which confirmed her suspicions. This was going to complicate matters (before this news, I was just discouraged that after so much walking and raspberry leaf tea, I wasn’t dilated or effaced at all).

Our Options

1. Do nothing. Go home, hope that the baby flips on her own, and wait to go into labor. If I did go into labor with the baby still breech, an emergency C-section would be necessary. However, as Dr. Pendlebury pointed out, I am a small person and I was already 38 weeks along. My baby girl had ran out of space. It was highly unlikely that she was going to flip at this point.

2. Try an ECV (External Cephalic Version). This means my doctor would try to manipulate the baby to turn from the outside. This has about a 50 percent success rate. I would be induced immediately after the procedure if it was successful. But there were several risks involved that could have sent me into an emergency C-section and I was warned that it would hurt. A lot. That didn’t sound so appealing either.

3. Schedule a C-section. We could simply opt for surgery on our own terms and on our own schedule. This was the only option that prevented the risk of going into an emergency C-section (something that we really wanted to avoid). It was also the safest delivery option, even if it meant a major abdominal surgery was imminent.

Our Decision

Dr. Pendlebury said we didn’t have to make a decision right away. After all, this was a big surprise and we both needed to digest the news and discuss the options that we had just heard. So we left the office and discussed our options in the car. By the time we got to work, we had made up our minds. Emmanuella would be born via scheduled C-section. We called my OBGYN and made the arrangements. October 24 would be the day.

Dealing with the Disappointment

At the time, finding out that a C-section was in my future was a major disappointment. It just wasn’t part of my plan. I had a birth plan written up; it was very simple (because I had heard that the more detailed plans are, the more likely it was that births don’t follow them): Go to hospital. Hang the purple Christmas lights I had bought solely for the hospital in delivery room. Labor in tub with my birth playlist for as long as possible without epidural. Get epidural when needed. Have baby. Was that so hard to follow? Apparently so.

I dealt with the news quietly at work that day. I told the necessary people (my boss, the HR mamager) that I had an official last day of work and went home. And broke down. This was NOT what I wanted.

The next day was a little better. I reached out and told several close friends that Emmanuella’s birthday would be October 24 (unless she decided to come on her own before then). I reached out to some friends who had delivered via C-section to hear about their experiences. And I began to mentally prepare myself for what was to come.

The next week and a half flew by in a blur of activity. With an exact end date in sight, I made sure the kitchen floor was mopped and laundry done. I packed my hospital bag, washed baby clothes, and set up a changing table downstairs. I even bought underwear that were two sizes too big so that the elastic wouldn’t hit my incision (in hindsight, one size up would have sufficed). I guess you could say I was ready.

The Day Arrives

My C-section was scheduled for 9:30. I was told to arrive at the hospital at 8:00. Before I left the house, I had to shower using special soap that smelled like straight up alcohol. I couldn’t wear contacts or makeup, and hair products weren’t permitted. We left the house in no rush at all. It was the strangest feeling ever. I felt like we SHOULD be in a rush; that’s what you see in all the movies. But then again, I’ve never seen a movie about a scheduled C-section (does one even exist?).

Arriving at the hospital was almost too relaxing to be real. We didn’t use the designated parking spots for delivering mamas. There was no need to; I could walk from the parking garage just fine. Dustin even stopped me outside the entrance to take one last “before” photo. It honestly felt like any other day at the hospital since we had recently been attending baby classes.

We used the labor and delivery phone to notify the staff our arrival and after several minutes (again with the theme of not hurrying), a nurse took us to a pre-op room. I put on a hospital gown and the fun began. It was time to get me hooked up to an IV.

I tell everyone that getting my IV was worse than the actual surgery because it honestly was. It took two medical professionals five tries to get my IV in. It wasn’t their fault really. They would hit the vein and a second later, it would collapse. On the fourth try, they actually tried to numb the area first using an additional needle. Although I didn’t feel any numbing sensation at all – just an extra stick. Ouch! On the fifth try, by some miracle it worked. The hardest part of the day was over (although multiple purple bruises would remain for weeks to remind me of that traumatic experience).

While still in the pre-op room, Jill, the anesthesiologist nurse went over the surgical procedure with me while nurses scurried about, preparing for the upcoming surgery. Dr. Pendlebury came in as well to do one last ultrasound, making sure my baby was still breech (she was). It was just about 9:30. Go time (although we wouldn’t go right away since we had to wait several minutes for the OR to be available).

What a C-Section is Actually Like 

The first thing to happen was my spinal (like an epidural except you can’t move at all from your chest down). Y’all, I HATE needles and had just been stuck FIVE TIMES (plus an extra to “numb” me) so I was not looking forward to this at all. And it didn’t help that Dustin wasn’t allowed in the room for this part. He is my go-to hand-holder in all needle situations. So it was surprising that getting the spinal didn’t really bother me. They numbed my back first and I felt a burning sensation. But when the big needle went in, I didn’t even know it. Thank you technological advances in medicine!

I was told that the spinal would make me feel “buttery.” Apparently that’s what other patients call the sensation. I STILL don’t know what that means. But in my experience, I’d liken a spinal to one of those nightmares in which something is chasing you and you have to run, but you can’t move. It was the most bizarre feeling ever. My body felt like it was superglued to the table I was lying on. I couldn’t move if I wanted to. (I guess that’s a lie. Once Dustin was allowed back in the room, I experimented with my abilities. I discovered that if I used ALL of my body’s energy, I could slightly wiggle my right big toe. A nurse confirmed I was doing it. I highly recommend playing around with that if you ever have the chance. It’s just cool.)

The surgery itself was FAST. My doctor made the initial incision, and Emmanuella was out about 10 minutes later. 10:15 to be exact. I didn’t expect to be able to see everything that was going on because the drape obstructed my view but it turns out I could see EVERYTHING reflected in the chrome light above the operating table. Let me just tell you that it is the weirdest feeling to watch someone cut into your stomach but not feel a thing. I went back and forth between watching the procedure because it was so exciting and looking at Dustin because it was so gross. I remember saying something like, “This is disgusting but I want to SEE!”

I was obviously on some hardcore drugs at this point, but one thing I recall in crisp detail is feeling terribly nauseous during the surgery (I was warned this could happen) and telling the anesthesiologist nurse. She gave me some drug that she said would go straight to my brain and BAM! All nausea was eliminated instantly. We repeated this process a few times during the procedure. WHERE was this miracle drug the first 20 weeks of my pregnancy when all I could do was throw up or lie down in agony?! I needed it then!

Emmanuella’s Arrival

emmanuella-hospital-7As I said, the delivery took no time at all. My doctor announced that she was coming, and Jill asked Dustin if he wanted to see. He said yes, and she grabbed him by the arm, and allowed him to stand up and look past the curtain. Dustin said later that Jill had a firm grip on him – we presume this was in case he passed out. Dr. Pendlebury pulled Emmanuella out (feet first, the silly goose) at 10:15 a.m., and passed her through the curtain to me. She didn’t even come out crying at first; I like to think that my sweet babe was as eager to meet the world as we were ready to meet her.

My baby being laid on my chest was an unforgettable experience, despite the drugs that caused me to forget other details about the day. My first words to my daughter were, “Hi baby,” and I was in complete awe seeing her perfect face for the first time. I reached out and touched her tiny hand, and she grasped my finger right away. Several people had told me that I would cry in that moment, but I didn’t. I just felt a sense of wonder. Finally, after months of waiting, my daughter was here. The moment was everything I ever dreamed it would be, even though it wasn’t exactly how I pictured it.

After taking a few minutes to bask in Emmanuella’s perfect arrival, a nurse asked if I was ready for her to be weighed. I said I was, and my tiny angel was lifted from my chest and placed on a scale. Seven pounds, 8.3 ounces, the nurse announced. Length 20.5 inches. Long and skinny. She didn’t get that from me.

Dustin was then allowed to trim Emmanuella’s umbilical cord. Dr. Pendlebury had to do the initial cut in surgery, but she promised Dustin she would leave it long, so he would be able to ceremoniously cut the cord afterward. From my place on the table, I couldn’t see, but a nurse filmed this for me to watch later. (Fun fact: There wasn’t much for Dustin to trim. It turns out that Emmanuella had an unusually short umbilical cord, which is most likely why she didn’t flip to the correct position in the first place.)

The rest of the time in the OR is kind of a blur. I remember holding Emmanuella again as I was being sewn up, and still feeling the sense of amazement that she was really here. I also remember feeling an overwhelming sense of nausea, and passing Emmanuella to Dustin while I got another dose of that miracle nausea cure. I reached out to touch her in Dustin’s arms, and soaked in the perfect moment. We were finally parents.

emmanuella-hospital-2