This morning started out with the phone ringing as it does often times. Last night I didn't sleep very well , I kept thinking that my phone would ring any time and Mrs. A would tell me she was in active labor and for us to come over. Well she did call but her labor was not active. She had a few contractions during the night and continued to leak fluid, and she thought her labor was beginning to pick up. I told her I would do some prenatals and if she was not in active labor I would come at noon and jump start her. She is a VBAC so our options were limited. The last thing you want to do with a VBAC is start labor with powerful meds and take the chance of rupturing her uterus. Not a good option.
An hour later Mrs. Speedy Birther called and said she thought she might be in early labor. This mom has a history of going early and very fast (precipitously). She lives about an hour from me so I think she was a little nervous. I told her to go to bed and drink alot of water after an hour or two she whould know if her labor is the real thing.
Mrs. Lots of Boys called an hour later and said her water was broke. Not in active labor. Same song second dance. Full moon. Same instructions to her and the additional info regarding PROM. She has done this in previous pregnancies so she was fine with the plan. We have helped her with several of her births. This will be her 9th.
At 11:30 I head over to the Birth Inn to help Mrs AA and decide she is doing great, so we decide to give her some more time. I did check her and she was 5-6 cm.'s 90% effaced and station +1 Yeah!!
While I am waiting on Mrs. AA I get a call from Mrs. Speedy Birther and she is still having contractions. I told her to come on in and I would check her.
By the way I am alone at the Birth Inn, Brenda is at the Dr.s with her husband who is having minor surgery. HMMMMM what to do. Deidre my loyal, sweet, fantastic backup offered to come and help. She just had her baby 3 months ago. The Lord does provide all we need.
Mrs. Speedy was sent home disappointed, fingertip dilated and thick. I was a little relieved but felt sorry for her.
Brenda arrived. YEAH! So I canceled Deidre.
Back to Mrs. AA .She was 7-8 cms at 2:20pm and was getting very dischouraged. She wanted to be done and I don't blame her, we gave her a little help and she had a beautiful hydrabirth 20 minutes later. She was so happy to have her 5th baby. Not one problem. The baby was great and no signs of infection. If a mom is GBS negative there is little risk of infection if you are patient and DO NOT CHECK HER. Observing is the best policy. She will let you know when its safe to check her. She was very excited not to tear. The baby did have a cord around her neck (nuchal cord) but it presented no problems (occurs with 50% of all deliveries.) Rarley do nuchal cords cause any problems. If the cord is really tight the baby might not come down into the pelvis. Then you suspect a problem and can deal with it appropiately. I'll probably have some stories about this some day and how it was handled. They went home at 7:00 this evening.