Birth of Ashley 4

Ashley's first birthday is coming up this Sunday, I'd better finish her birth story! :-)

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Once I decided to go for C-section, the nurse started preparing me and AJ for the operation room. I signed whole bunch of paperwork, and AJ was putted on the blue medical suit. I was pretty calm at this moment, the nurse said to me, "You handle it much better than a lot of people." Well, what else could I do? I remember telling AJ to make sure to bring the camera and the camcorder, and told him to follow the baby if they took him/her outside of operation room.

They packed all our belongings underneath the patient's bed and pushed me to the operating room, and here I was in the operation room about to be cut open! They told AJ to wait outside until they settled everything, I don't remember when he was allowed to come in. I was transferred to another bed. They asked me to stretch both of my arms out and tied my arms down on the bench to prevent me from moving. I felt like a pig getting ready to be butchered. The anesthesiologist started to give me local anesthesia while the nurse started to sanitize me.

Soon after, the anesthesiologist told me that he was going to poke me and asked me to let him know if I could feel anything. He started from the leg, to the hip, to the tummy, to the mid body, to the chest, to the shoulder, and finally it was around my neck that I started to feel a little bit. I remembered from the birth class that for local anesthesia, you were supposed not to feel anything from chest down, but I could not feel anything from the neck, and I thought to myself that maybe it was too much anesthesia?

For some reason, the nerves kicked in and my whole body started to shake uncontrollably, I screamed, "I'm shaking!!" the nurse and the doctor tried to calm me down by saying that it was due to the anesthesia and the hormone from the labor and it was normal. Soon the attending physician, pediatrician, pediatrician's nurse, my doctor's assistants all came in, there were probably about 9 doctors/nurses in the room. The surgery was about to start.

Then I heard the attending physician asked AJ, "when the baby is about to come out, do you want me to let you know, so that you can stand up and take some pictures?" AJ replied right away, "No, thanks, I'll stay on this side." We had this discussion before and he didn't want to see any bloody scenes, he's a south side kind of guy. "Oh ok, then pass me the camera and I'll take some photos for you!" The attending physician offered. He did indeed take some priceless photos.

Next I heard my doctor said to me, "We're going to make an incision and you might feel some tingling." Well, I could not feel anything at all. My body was shaking harder and harder, I screamed, "I'm shaking very badly!" Someone then told me to focus on something else, but really how could I? The shaking continued and then slowly I felt I couldn't breathe, so I screamed again, "I can't breathe!" The attending physical then told me that they were monitoring the oxygen intake and everything looked fine. But I still felt that I was having hard time breathing. I bet it was probably the overdosed of anesthesia that numbed my lungs. I truly believed it was due to that, I later vomited all the food my mom made me eat while in the operation room. Now I know why they tell you not to eat anything before the labor!

Then I started to feel sleeping and started to falling asleep. But wait! I remembered from the birth class that local anesthesia during the C-section was not supposed to put you to sleep and you were supposed to stay awake when the baby is born. I bet it was the overdosed of anesthesia that's making me sleepy! I wanted to stay awake for the birth of baby, so I screamed one more time, "I'm falling asleep! I'm falling asleep!!"

The attending physician wanted to keep me await for the magic moment, so he started to ask me a bunch of questions so that I could stay awake. "Where are you from?" "Are any of your family here?" "How did you stay in shape while you are pregnant? ..... I struggled fighting the sleeping bugs and tried to answer those questions. I had to thank him for trying so hard to keep me awake though!

"Ok, we're going to press on your tummy to get the baby out. You might feel some pressure on your tummy." My doctor said to me again. Well, I could hardly feel anything. Several seconds later, I heard some crying! And the doctor said, "Dad, you wanna tell mom what you have?" We didn't find out the gender of the baby while I was pregnant, I wanted a surprise. "It's a girl!" It was a surprise indeed. Either way would be a pleasant surprise.

While they cleaned up the baby, my doctor said, "Oh, look that's why the baby wasn't handling the labor! Her umbilical cord was tied in a knot!! And it wrapped around her neck twice!" Geez, this could have turned very bad, baby with umbilical cord tied in a knot can not be born virginally. She must been doing a lot of gymnastic inside my tummy! Had I known about this, I couldn't come back home the very first time I came to the hospital; I couldn't go to the airport! Instead, I could have stayed in the hospital the first time we came. Luckily, everything turned out OK! It was definitely a right choice to do C-section

A few minutes later, after they cleaned and weighed the baby, AJ brought the baby to me. It was the most magical moment of my life, everything else just seemed to disappear, all the pain and tiredness just went away and the time just seemed to be frozen, I would never ever forget this moment.

Here she is, the baby I had waited for 10 months; the baby that I felt in love the very first time I saw her heart beat on the ultrasound; the baby that has been kicking around for months inside of my tummy! At the very first second we saw each other, she locked her eyes with mine, she knew who her mother is! She was still crying loudly, yes, she got very healthy lungs! I started mumbling, "Hi peanut! It's ok, it's ok, everything is ok, mommy is here...." Her eyes never moved away from me. She is such a very beautiful healthy baby! Baby wrinkle? Not this baby! Her skin is as smooth as silk. Pale purple looking baby? Not this baby! She's so pink and glowing! She's the most perfect gorgeous angelic baby!

I kept on staring the baby, and then I turned my head and said to AJ, "Oh, she got your skin!" To my surprise, I saw some watery eyes on AJ. Really, this is a guy who hardly shows any of his emotions at all, a big 6 foot 2 inch guy. This must really mean something to him. I would never forget this. It's imprinted in my memory!

So, here we were, a week earlier than her due date, after more than 24 hours of labor and a very eventful day, and some scares here and there, we welcomed our beautiful and healthy baby, Ashley. She was born at 6:35 PM, August 30th, 2008, measured 19.5 inch and weighed 7lb 3oz.

Welcome to the wonderful world, Ashley!

Birth of Ashley 3

During the drive to the hospital, I was still silent and contractions just hit harder and harder. I couldn't breath, couldn't talk and every inch of my body just seemed to be in pain. The idea of doing natural birth started to shake, I mumbled to AJ, "I don't know how long I am going to last without epidural. I think I'm going to ask for epidural. This is too much to handle."

I remember us rushed pass the security at the hospital as they could see in the pain in my face. In the elevator, I had to bend over and lean on the wall as the contraction struck again. It really felt like the end of everything.

It took a while before the nurse checked us in and she ran the same tests as the first time.

"You're now 4 cm dilated and 100% effaced."

"What?! That's all? It has been more than 10 hours since I was checked last. I was at 2 cm and 35%!" I cried out.

I thought to myself, geez, all that pain went to effacement, and only 2 more cm? I couldn't imagine how much more painful it would get and how much longer it would take to be 10 cm dilated? Another 20 hours? or more???

At that point, I knew I had to ask for epidural.

"On the scale of 1 to 10, 10 best the most painful. What's your pain level?" The nurse asked again.

"10! 10! 10! 10!" I screamed without any hesitation. Really, is there 20? It felt like 20!!!

"Do you want epidural?"

"YES! PLEASE!"

"Ok, we'll check you in. The time has come."

Finally, more than 20 hours after the contraction started, I was checked to a hospital room. It was August 30, 2009 around 2PM.

The hospital I went to is a teaching hospital and residents are the ones who give epidural. I always felt very uncomfortable having resident applying epidural on me. So I wanted to ask for the attending physician.

The anesthesiologist soon after I was checked in. He started giving me a bunch of information and asking some questions. I remember one of the questions was,

"What was your pain level on the scale of 1 to 10?"

"10! 10! 10!" Geez, can't you guys just give me the epidural??!!

Once he finished asking questions. It was my turn to interview him.

"What year are you on as a resident?"

"3rd"

"How many epidural have you done?"

"About 200."

"What was the worse come out from your patient?"

"...."

"Well, I'm sorry, I don't feel too comfortable having a resident to give me epidural. Can I have the attending physician to do it?"

"Any particular reason why you don't feel uncomfortable about it?"

"Not really. I just don't feel comfortable."

After a phone call, he said, "OK, the attending physician will come."

While the nurse and the resident were preparing me for the epidural, the attending physician came. For some reason, my body started to shake uncontrollably. "My body is shaking, I can't hold it still!" I cried out in panic.

"It's normal, it's due to the hormones from the labor. It's ok. Just relax and breath." Someone replied.

I guessed the doctor could feel that I was tensed and starting asking where everyone was from originally. It turned out that AJ is from Australia, the nurse is from Ireland, the attending physician is from England, the resident is from Oklahoma, and I'm from China.

"What an international delivery room!" Someone commented.

While my focus was shifted during the conversation, the resident finished applying epidural while the physician watched. I realized it wasn't the attending physician who did it, but it turned out pretty good, but I didn't bother to press the issue.

I had learned from the birth class that there is a button on the epidural line that the patient can click for more dosage if needed. So, I asked the anesthesiologist where that button is. I know, I know, this is 180 degree from doing natural birth without pain medicine, but the pain was really unbearable. He showed me where the button was, and I asked,

"What if I click too much and overdosed?"

"Well, it's computer controlled. It doesn't really give much more. It's probably more psychological than anything."

Soon after I got the epidural, I couldn't feel the pain anymore. 5 minutes afterwards, the anaesthesiologist came in and asked again what my pain level was now.

"0! 0! I can't feel any pain! I should have this a long time ago!"

Epidural is truly amazing. After I got it, I couldn't feel any pain. In fact, I couldn't feel any contraction. Every time the contraction, AJ by looking at all those monitors behind me would tell me, "Here comes another contraction." Finally I got to relax and rest a bit after more than 20 hours labor without epidural.

For a while, the labor was very uneventful except around 3:30PM, the water broke. Half hour later, while resting, we heard some sort of alarm went on, but no one came in. So I called the nurse, she came in, ran a couple of tests on the monitor and left. The alarm must have gone off a couple of more times, the nurse was pretty calm, ran some tests and didn't mentioned if there was any problem. Another hour went by, the alarm went off again and the nurse come, ran some tests again and said to me,

"It looks like the epidural slows down the contractions. We are going to use Pitocin speed up the labor."

Not long after the Pitocin was used, the alarm went off again. And this time, it was pretty loud. All the sudden, 4 or 5 nurses rushed to my room, each all doing some sort of tests and 1 nurse started to ask what my blood type was. I had to say, they were all very calm and professional, at least they didn't make me feel nervous.

Finally, my nurse said to me, "Looks like the baby can't handle the labor. Every time the contraction comes, baby's heart rate went down to 60 to 70."

60 to 70??!! The normal baby heart rate is supposed to be between 120 to 150. I started getting a bit worried.

"Is it because we use Pitocin?"

"No, even before that, the baby's heart rate went down as well. The heart rate recovers after the contraction. We normally give 30mm of Pitocin, and we only started 5mm with you. It happened almost every contraction."

AJ mentioned that he could see it from the monitor that one graph showed the contraction and one showed the heart rate and it seemed though the curves went on different directions with contractions. And we were both worried at this time.

"Well, I called your doctor, and she said we might need to do C-section. She'll come and talk to you"

C-section? It was my last reserve. I didn't really want to do it unless it's necessary.

My doctor came and explained more about the situation to me.

"It looks labor is putting the baby in stressed. The heart rate really went down quite a bit. It might be worse. C-section is an option. And you get to see the baby soon!"

"Are there any other options?"

"Well, we can wait and see what happens. But really, this is not true emergency yet, and I can take my time to make the cut and then stitches up. In the real emergency case, we have to rush to take out the baby in a couple of minutes and I might not have the time to do that."

"Can I think about it?" I still hesitated about having C-section.

"Sure, but I'm really worried about the baby." The doctor said.

Once I heard that, all the hesitations went away. The baby's safety is my first priority. "OK, let's do it then!"

Later on, we all found out that this probably turned out it was the best decision I had ever made.

It was around 6 PM on Saturday, August 30th, 2009, more than 24 hours since the contraction started, 4 hours after I checked in to the hospital room, 3 hours after I got epidural. I should have gotten the epidural much earlier had I know that I was going to end up with C-section. Really, you can't predict what can happen in a labor.

Pretty soon, I got to see my baby!

Birth of Ashley 2

How can anyone sleep with on-going contractions?

Of course, I couldn't. I was tired and exhausted, I wanted to sleep. But every time I fell asleep, contractions would wake me up. They were getting more painful and painful. I just tossed and turned the whole time on the bed.

How can I describe the pain? Well, honestly, no word can describe it. I always thought of myself as someone who's very strong physically, and that I have high tolerance for pain. But this pain was way beyond what I could ever imagine.

Around 3:00 AM Saturday, it was getting very bad, so I woke up AJ, "Time to go to hospital! Baby is coming!" The whole way to the hospital, I was very quite, didn't say a word. The pain basically consumed me, I just wanted to arrive the hospital as soon as possible and didn't want to waste any energy talking.

The nurse checked us in and ran some basic tests. I was 2 cm dilated and 35% effaced (thinning of cervix). "What? That's all? All that pain?" I thought to myself.

"On the scale of 1 to 10, 10 being the most painful, what's your pain level now?" The nurse asked.

"10! 10! 10!" I responded in pain.

"Do you want any epidural?"

"Epidural? No, I'm going to try natural birth first." I answered. I didn't want any intervention of medicine unless it's necessary, so I always planned a natural birth. Well, at least I wanted to give it a try.

"Hmm, well..., " the nurse continued, "You are now just at the beginning of active labor and natural birth takes a long time. Normally we don't accept patients with natural birth plan until they're further away in the labor. We can't give you any medicine to help with labor if you don't want to have epidural. So, we have 2 choices here, you can either go home and come back later when you're further in the labor. Or you can walk around here for 2 hours and we can check your progress then."

Silence, my brain was spinning around fast. My mom was coming in about 4 hours, I still wanted to pick her up from the airport. And I didn't want to walk around for 2 hours, the pain was very bad, but not the end of the world. After consulting with AJ, we decided to go home. So the nurse give me some pain medicines and we came back home. It was around 5AM then.

The pain medicine didn't help anything. The pain was getting worse and worse. I couldn't sleep of course. I was just lying on the bed, holding onto my tummy, bending my legs together, letting the contractions come by and waiting for the time to go to the airport.

Finally around 8:30 AM, we got up and drove to SFO to pick up my mom. The contraction was hitting harder and harder, the pain seemed to double as before. I couldn't talk even if I wanted to. I felt like I couldn't breath. You know all those techniques you learned from the birth class seemed to be useless. At those moments, you just wanted the pain to go away right then. Every second seemed like an hour.

The walk from the parking garage to the terminal seemed like from the earth to the moon. I held on to AJ on one hand, and the other holding on to anything I could grab, the wall, the railing, you name it. Every once a while, I would stop and say, "Wait, contraction is here!" and put my whole body on the wall. Finally I located my mom amongst a crowd, once I found her, I just sat down. It was too painful to be standing up. I bet the whole airport was looking at me funny. I don't quite remember how I could ever make it back to the car while in the active labor. All I remember is that I basically had to on to AJ and my mom on each side of me, and with each step I felt as if baby's head was pushing further and further down.

There is more silence on the way back. The pain was too much, the sweat started to drop like rain fall and my back started hurt quite a bit. Once I got home, I went to lay on the bed immediately, the pressure was just too much to handle.

The contractions were getting very painful. With each contraction, it felt like my body was being pulling apart and then contracting together. It was so painful that the sweat just broke down. I don't think I can even sweat that much from a hard cardio workout.

My mom started cooking for lunch although I didn't think I was able to eat, but she insisted of me eating some food for energy. It was proven to be a mistake later on. I couldn't chew, couldn't swallow any food. I didn't have any energy to talk. Even opening my mouth seemed to be painful. It was the longest meal I ever had. The sweat kept on coming nonstop with more and more frequent contractions. I couldn't imagine how other women did it, it was way too painful than I could ever deal with.

Time must be frozen for a while since I didn't remember much. Around 1 PM, it was very obvious that the baby had dropped much further down in the tummy. So I said to AJ, "I think it's time to go back to the hospital."

So here we were, 10 hours after the first visit to the hospital, we were on our way again and hopefully by the time we came back, we came back as three.

Birth of Ashley 1

Ashley's birthday is coming up soon next month (can you believe it?). There were so many stories about her birth and yet, I haven't written down anything. So, here I am, thinking that while these memories are still fresh, I'd better write them down before they fade away.
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I can still remember vividly the week leading towards Ashley's birth, the week of August 25th, 2008. It was a scorching hot summer week, one of those few weeks we get in Northern California once a while. It was so hot that you feel so uncomfortable to stay indoor; the entire house feels like sitting on a hot oven; you sweat right away the very first moment you get out of the shower, and the air seems to be still.

I took 2 weeks off prior to the due date, now thinking about it, I should have taken the whole 4 weeks off. During the week, I went out everyday to get the last minute stuff ready for the baby. At the end of each day, I was exhausted, and the heat didn't help.

At the beginning of the week during the regular checkup, I was already 1cm dilated. At the time, I asked the doctor if this was the sign that the baby might be coming this week. The doctor answered, "No, it doesn't mean much. The baby can come anytime. It could be this week, next week, or the week after."

Thursday night was hot as any other day. For some strange reason, I insisted to have watermelon and it was 10 o'clock at night. I had the need to have it that particular night. So AJ and I walked over to Lucky's and carried two big watermelon home (of course, I didn't do much of carrying). By the time we got home and finally had some watermelon, it was probably about 11PM.

Friday was hot as well. Contractions started kicking in Friday morning. It started very slow and mild and came every once and by the afternoon, it started to come a little bit more frequent. I still had to get some stuff from Walgreens, so I decided to walk to Walgreens in the hot, sizzling sun.

The tummy seemed to be getting heavier and heavier with each step. The breathe was getting shorter and shorter. The contractions came every now and then and my feet was getting heavier and sore. It seemed ages before I reached Walgreens. By the time I got home, I was completely exhausted and hit the bed right away.

By the time AJ came home around 5PM, the contractions was becoming more regular. So I told him, "I think the baby is coming soon!"

My mom was flying in on the next morning Saturday, so I said, "We need to clean the condo!"
Well, you know what they all say about expectant moms have the urgency to clean right before the baby comes, it's very very true!

"I want to go out for dinner for last time together in the next 15 years!" I added.

AJ thought about it, and said, "Sure, but I want to go for a motorcycle ride for the last time."

"OK, how about we clean, then you go out for a ride, and we then go for dinner?"

So, believe it or not, while I was having contractions, we cleaned up the condo, AJ went out for a bike ride, I took a shower and by the time we went out for dinner, it was past 9PM.

I still remember the dinner. It was at Pasta Pomodoro. Instead of usual Frutti di Mare, I ordered Spaghetti Polpette (spaghetti with beef and pork meatballs). I must had thought that I needed the carbohydrate for the labor and didn't want to take any chances with bad seafood. It was a dinner I could never forget, every now and then during the dinner, I would said, "hold on, contraction is coming." And I would put my fork and spoon down, and hold my head. I could barely taste the food. At the time, the contraction was getting a bit painful, but it was still manageable. They came like every 10 -8 minutes, the doctor said to go to the hospital when the contractions come every 5 minutes. So, we knew it must be coming pretty soon.

I don't remember how we finished the dinner. By the time we got home, it must be almost 11 PM. So, we packed up the last minute stuff, and I called a friend to pick up my mom from the airport in case I was in labor the next morning.

All that set and done, we went to bed.