
Parker Tindell Anderson was born at 9:12 pm on Monday, August 3rd. She weighed 7 lbs, 10 ounces and was 20 inches long. She is so beautiful.
I was scheduled for induction on Monday morning at 0530. Corey and I got up at 3:30 and got everything packed for the hospital. We had to run in to his clinic so he could do his orders from last week and then we headed over to L&D. They had actually called and left a message the evening before asking me to come in at 8 pm to start the induction early, but I am glad that I had my phone off because I got a few more hours of sleep.
We got settled and it took a while for the actual induction to start. Here's how the day went:
6:30 - get IV; I was still at 3 cm.
8:15 - start pitocin (everyone was busy until then). I gradually started to feel increasing contractions.
11:00 - 5 cm. I talked with Captain Foster and she said that since the pitocin would make them strong, it was probably good to go for the epidural if I wanted it at that time. Also, I could stop getting up to go to the bathroom every 45 minutes because I would get a catheter.
11:30 - return from the bathroom and plug in my monitors. Parker's heart rate is low and about 6 people run into the room. I get oxygen and a 500 mL bolus of fluid. PITOCIN IS STOPPED
12:30 - anesthesiologist comes to give me epidural. At this point, I am feeling okay since there is no pitocin flowing, but I know it will get worse. On the 5th attempt, epidural started [and it was a staff anesthesiologist, not a resident].
12: 45 - still 5 cm and water breaks spontaneously; start pitocin again and start over at low dose.
1:30 - turn over to my right side and monitors start beeping. Parker's heart rate is low again and about 8 people come in and yell at me to get on my hands and knees. The problem is that I can no longer feel my legs. Corey and several nurses get me up on my knees and they insert an internal sensor on Parker's head to monitor her more closely. They determine that she may have positional problems and I should only lay on my left side. PITOCIN IS STOPPED.
1:45 - my monitors start beeping again. My blood pressure is 100/32. Problem. Anesthesiologist comes in and gives me a vasopressor. First of 3 doses. Eventually they are happy when my diastolic (bottom number) is in the high 40's. They think that my blood pressure is affecting Parker.
3:00 - OB residents come and talk to me about an internal uterine monitor to determine the strength of my contractions. Yay. Pitocin is started again on low.
6:00 - now at 6 cm. Not progressing fast enough. The epidural is starting to wear off and no one wants to mess with it because of my blood pressure. I am told that if I don't progress at least 1 cm per hour, I will need a c-section. Told I am finally in active labor but I need to be having a certain strength of contractions every 10 minutes to be progressing.
6:30 - I am consented for a c-section. I get a second I.V. and Corey is given scrubs. I am told that I will be checked again aroun 9:30 or 10:00 and if I am not progressing, we will go to a c-section. I say that this is okay because I am worried about Parker. However, the intern reviewing the consent says she will be in on the surgery. I don't think so - not with the risk of a hysterectomy. I tell Corey that if I need a c-section, he is going to find the chief resident and staff and tell them no interns are allowed to particpate in my treatment; observation only.
7:30 - feeling terrible pain in my lower back on the right side. Probably because I have been laying on my left side all afternoon and the epidural has completely worn off on the right. The anesthesiologist comes to give me a bolus and I feel no relief. We try turning me to my right side for one contraction and I felt much better. But Parker's heart rate drops again. PITOCIN STOPPED. OB residents come and I tell them to tell the staff I want a c-section and Parker has been through enough. They decide to try one more thing - amnio-infusion - put saline back into my uterus to see if the lack of fluid is causing a problem with Parker's umbilical cord.
8:00 - horrible pain. I yell at Corey to get an OB because I want to be checked... if I am not making progress, why not just go to the c-section? Corey goes to get them and the nurse checks with anesthesia because at this point I am yelling and whining with each contraction (sometimes less than 25 sec apart)
8:05 - 9.5 cm dilated and 100% effaced! How did this happen? Pitocin started on low and they tell me to labor for another hour. I cry and say that I can't do it. I have no relief from the epidural and my contractions are 7-8 in 10 minutes and very strong.
8:20 - trial pushing. I am suspicious since everyone is still in regular scrubs so I scream a little louder to get their attention. At some point I cry genuine tears because I feel the OB team is intentionally torturing me and enjoying my pain.
8:30 - OB chief resident and staff come in and everyone gets in a gown. Scale and warmer brought in. I start pushing and anesthesiologist gives me a bolus. This actually works since I've been allowed to lay propped up on my back. The OB resident gives me local anesthesia injections before inserting the vacuum. Then the chieft and the other resident reach in and stretch me so that the vacuum will fit. I am trying to deal with contractions because they only let me push through every other one since Parker's heart rate is still low. Corey remembers them talking about turning Parker and how bad it would be if I ended up with a c-section after all of this. They do an ultrasound to see which way Parker is facing (front or back) and determine she is turned slideways. According to Corey, they then attach the vacuum and three people pull on her while I push. I only pushed through 5 or 6 contractions.
9:12 - Parker is born! Three pediatricians/peds residents are waiting to look at her. She got 7,8 Apgars due to her heart rate, reflexes and color. Poor Parker had a huge hematoma from the pump and they are doing tons of measurements. We counted and there were actually 11 people in the room during my delivery (plus me and Corey). They had two anesthesiologists there because of my screaming and the peds people ready since Parker hadn't done well through my labor. The OB resident starts my sutures. I had 2 internal vaginal tears from the vacuum and a degree 3 external tear. Not fun. Luckily, the local anesthesia worked and I didn't feel the sutures - the entire hour she was working on them. Although as soon as they were done, I could feel the throbbing! OB docs also determined I needed packing beacuse I was bleeding a little more than they liked.
10:00ish - I finally get to hold Parker. The peds people decided that she could stay, and we finally got to hold her and try her first attempt at breast feeding.
2:30 am - OB resident removes the packed gauze. Techs come in and measure Parker's heart rate and head circumference. Because of the vacuum, she has swelling and needs to be monitored closely. They think her heart rate is low and call a pediatrician. Pediatric resident thinks it is low but okay.
3:30 am - Techs come back and nurse also checks Parker. They call the peds resident again. He comes and checks on her. I fall asleep because I have been up for 24 hours and I am physically exhausted.
4:30 am- I wake up and Parker is not in our room. The nurse tells me they took her for some testing.
5:30 am - Pediatric resident wakes me up and tells me Parker is in the NICU. Her heart rate was dangerously low and they couldn't get her blood pressure accurately. Also, she is spitting up and they are concerned that she aspirated some amniotic fluid. The nurse comes in shortly after and told us that Parker's heart rate was 76 and normal is around 120. She said, "I don't want to scare you, but we start chest compressions at 60, so it was serious. I didn't want to come in and find you guys sleeping and a blue baby." Needless to say, that despite her intentions, I was more scared than I have ever been. We were told that we could visit Parker in the NICU at 8:30 am. Longest 3 hours of my life.

Corey, Parker and me on Friday. Parker changes so quickly and every day we notice little differences and appreciate her features. I wish I had a close-up with her eyes open. She is getting newborn photos on Tuesday and I am hoping to get a good picture of her face with her beautiful eyes open.

Corey and Parker just hours after she was born. She got a bath before we held her and this is Parker right after her 1st unofficial bath.

This is when Parker was on loan to us from the NICU. You can see the little IV in her hand, and after it was removed, we could see the 6 other sites where they must have attempted to place it. I am so glad I wasn't around when they were stabbing her with the catheter. She also had EKG leads that they left on so that if something happened, she could be easily hooked up to the monitors.

This is Parker right after birth. They are measuring her head because of the trauma from the vacuum.

Another picture of Parker right after birth. She was so alert!

This was taken about an hour after Parker was born. They were actually still doing my stitches when this picture was taken. Parker's little face is all puffy from the delivery but she is still so cute!

Another picture of me and Parker just after delivery. Does she look a little like me?

I ended up with several different fluids. Drugs for the induction, epidural, hydration (for me) and saline for the infusion back into my uterus. Needless to say, I retained quite a bit of fluid and I am still puffy days later!

The forecast for the week; on Parker's birthday, the high temperature was actually 102 degrees, but the low ended up being 72. The low was probably early that morning when we were headed in to Wilford Hall because it really didn't seem too warm.
It turns out that after 2 days of testing and cardiac consults that Parker just has a low heart rate. They also picked up a murmur that they think is developmental and will check it again at her 2 week appointment. She was suctioned out and has stopped spitting up. My blood pressure gradually rose to about 120/70 but it took the full 2 days. We stayed until Thursday afternoon and finally got to bring Parker home. Breast feeding has been frustrating because Parker was given formula in the NICU (and probably too much considering that she was less than 72 hours old). She didn't have to do any work for the formula and is now adjusting, as am I.
Corey was great through the labor and delivery. I tried my best not to yell at him and he was very supportive (although there is only so much he could say to get me through the contractions.) He let me squeeze his hands and told me later that he had to take off his ring because I was crushing his fingers! He did everything I asked and it was so neat to see him cut Parker's cord and look at her for the first time. I got him a "New Dad" t-shirt that has 2 pink footprints. He wore it the next day and he is such a proud daddy. He has a good reason, though, becaus Parker is too darn cute. When I look at both of them, I realize how fortunate I am. I really can't see my life any other way. I think the entire labor and delivery experience brought me and Corey closer and so is having Parker at home. Our priorities have shifted, but we are working to make sure that we still take time for each other.

Corey's parents came while we were still in the hospital and now my parents are visiting. We will try to update again soon and post tons of pictures. Parker is so beautiful.