during our car ride to the hospital, i had at least 3 strong contractions. now, it's difficult to say if they were stronger because i didn't have my hot pad on my back, or because they were simply getting stronger, but i was starting to get suspicious that i was transitioning. at the very least, i was hoping i was because if that was not the strongest level of pain i was going to face, i wasn't sure how i was going to manage.
brendan drove cautiously, but after he stopped at a neighbourhood stop sign when no other cars were around, i told him (mid contraction) "DON'T STOP!". the windows were down in the car (since it was a VERY hot september night), and with each contraction i would yell out these loud tarzan like cries "ahAH-AH-AH-AH". when we got to the lights at princess and victoria, there was a car in front of us that had queen's students gathering around it. i was so annoyed, and worried that they would not clear out of the way by the time the light turned green. i was fully prepared to tell "GET OUT OF THE WAY! I'M IN LABOUR!" if they didn't move. but thankfully they did. it was bizarre driving through campus with all these students everywhere.
when we arrived at the front entrance of KGH, brendan dropped me off, while rach dropped shanno off, and they headed to go park the cars while we went inside. i wasn't sure if someone would suddenly appear with a wheelchair (like they do in the movies), but we didn't stick around to find out, and instead headed for connell 5. one of the funniest experiences for me, was when we stopped in the hall just past the lobby so i could have a contraction. i was leaning on a pillar and shannon was kneeling down applying counter pressure on my back as I yelled out, and these people walking by asked "is she ok?", to which shannon explained "oh, she's alright, she's just in labour". i find it so strange and funny that they weren't able to piece together that a very pregnant woman+in a hospital+making loud painful sounds=labour. after that one passed, we kept walking and talking as if everything was normal. we had to stop another few times. i also had a contraction in the elevator, during which i tried to exit (and managed to). shanno tried to encourage me to stay on the elevator if that helped, but i was scared that it would start moving again to another floor with us on it, thus delaying us from getting to connell 5. we managed ok though :)
when we got to the nursing station, we told them that i was in labour and we were meeting my midwife susan there. thankfully brendan and rachel showed up very quickly because they had my purse/healthcard. it seems that susan did call ahead and they were expecting me, so they showed me to my room; a different room from last time, which i had been hoping for – i wanted a room with bigger windows, although it was midnight by the time we arrived, so we couldn't see anything anyway. but i still liked that we had a different room. when we entered, the nurse said "there's the washroom if you need it", and i was tempted to go, but then thought "i should wait til susan gets here, just in case...". i was standing with someone (i think it was shannon) contracting in the bathroom when susan arrived. at first she implied that we still had time to do a few different things, but i remember feeling sure that i was quite far along, and just wanted to get checked to find out for sure. we moved into the room close to the bed when i felt an urge to barf. so i stood there gagging and heaving over my metal mixing bowl. thankfully i didn't barf (just one less unpleasant thing to deal with). susan asked me "are you pushing while you're heaving?" and i said "maybe". there was so many things happening at once in my body that i couldn't be sure, but definitely couldn't rule it out.
she had me lie down so she could check my cervix, and told me i that i was 8 cm. that was both encouraging and disappointing at the same time. i was sure that i was VERY ready to push this baby out, and i didn't know how long it would be until 10 cm. she explained that although my water had broken, there was still a membrane covering my cervical opening, and asked permission to break that, and i agreed. after she did that, i was 9 cm. she then told me that there was still a little bit of cervix in the way, but she could push it away with her hand, so if i could push with my next contraction, she might be able to get it out of the way, and that worked! so i was 10 cm in no time. i was finding the contractions just AWFUL, so i asked if i could have some gas. but she explained that because i was about to start pushing i couldn't have any gas because it would make me light headed, so i had to do without.
i remember crying out and writhing about on the bed, and susan trying to calm me down so she could talk to me. she told me that i had to channel my cries down, because i couldn't push if my diaphragm was open. so tried redirecting my instincts down toward my bum. pushing was hard, especially when dealing with a contraction that i just wanted to go away.
soon i was hearing susan say "she has a low pelvic arch, so it's going to be difficult to push him past her pelvis". this was very interesting and revealing since i had difficulties pushing our eamon, but no one ever mentioned anything about a low pelvic arch before. she also explained that she knew very specific positions that would help work around that issue. so oddly enough, she started me on my back with my legs up. i remember hearing her say "his head is moulding". in the meantime, i could not keep my eyes open, and i was sweating buckets. shannon kept giving me sips of drinks between contractions, rach was holding the fetal monitor in place (because they had to keep track of him, since fetal distress is the first sign of uterine rupture. thankfully, his heart-rate was strong the whole time, and even with all my moving and writhing, the monitor was able to get a consistent read), and b helped with damp cloths on my face. at some point, the back-up midwife sarah arrived.
the next position we tried was me kneeling on the bed, facing backwards, holding onto a bar on the other side. this was not my favourite position, but it seemed to have a positive contribution. then we moved onto the birth stool (i'll just stop to say at this point, but grateful i am that i didn't have an epidural because i would not have been able to move around so much, and get into so many different positions. also, it never once occurred to me to ask for an epidural. i didn't want one, i wasn't tempted to have one, it wasn't even on my radar). the birth stool was neat, because i was able to grab the underside of the stool and pull up with my hands, while pushing down with the rest of me. eventually though, she said that the birth stool had been really effective, but had also resulted in lots of swelling, so it was time to change positions again.
at that point, susan suggested i try going to pee. i think she thought it would help if my bladder was full, it might have been in the way a little. rachel helped me to the bathroom (still with my eyes closed), and when i had another contraction, she told me just to hold on to her. so i grabbed and squeezed her arms. i sat on the toilet for a few contractions, but it seems i didn't have to pee, so we headed back to the bed, where i lied on my back again. for a time we used the stirrups, but mostly i just had to pull back on my legs with some help. it often felt like i wasn't holding my pushes for long enough. she would tell me "keep going, keep going", but i needed to take a breath, so usually stopped before she said i could. sometimes she'd tell me "take your rest", but i could feel that he contraction wasn't done yet. but she told me that little pushes didn't help, and that i needed to save my energy for the big long pushes.
all this time, i felt like i was trying to have a massive poo while being extremely constipated. i pushed and pushed, but that poo did not come out. eventually, i just told myself i was just pooping, and let go of the idea of pushing out a baby. i think that really helped. it actually released me from a lot of potential fears. susan would often insert a finger and tug a little as a indication of where i should be directing my pushes, and that really helped as well. sometimes she'd say "can you feel your baby?" and i'd always say "no" or shake my head. as far as i was concerned i was just pooping. the last status update she'd given me was that i needed to push him past my pelvis, and until she said otherwise, i wasn't going to get my hopes up that i'd achieved that. so again, i just focused on pooping.
eventually, shanno, b and rach started saying "i can see his head! there's his head!", but we could see eamon's head last time, and that didn't mean anything, so i tried to keep my expectations low. susan asked me if i wanted to feel my baby's head, so i did, but it didn't feel like a baby's head. everything was puffy down there, and his head was just more puffiness. but regardless, it was still encouraging. i think there was more of his head than there was of eamon's last time. as the pushing continued, i thought about how much i hated it, and how much i wanted it to be over. but i knew the only way to be finished was to push him out, so i kept working and trying really hard. the pain was very motivating. part of me felt like "why don't they just pull him out already".
even though people were talking about his head, no one actually used to the words "he's crowning", so i didn't want to jump to any conclusions. i've hard rachel talk about "the ring of fire" many times in regards to birth, so when i started feeling the burn, i concluded that he must be crowning. in a way, it was better to read my own body signs than be told that he was crowning. susan was placing warm cloths on me, which was soothing, and i figured they also helped to reduce tearing. i can't remember if anyone said that his head was out of not, but i remember brendan, shannon and rach said "he's moving around! les, he's moving around a lot!", and they were obviously very excited. but i had no idea what they meant by that, babies move around, right? when i asked b about that later, he said that the baby's head was out, and he was turning it side to side. he half expected the baby's head to keep spinning around like in the exorcist. i think i had two more contractions/pushes, and the next thing i knew he was lying on my belly. i could feel him, and he felt very little, and all limbs. everyone was saying "he looks so different to eamon".