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Maddox Nicholas: The Birth Story

Maddox's Page - Birth Story - Photos - Videos

Baby ShowerEvery, well most, pregnant woman has a dream or an idea of how her labor and birth experience will be.  We all have this great idea of what we want to happen and we dream about it throughout our pregnancy.  That "dream" was ripped away from me when I was only 9 weeks pregnant.  I began to itch.  It has been years but I still remember it like it was yesterday.  I woke up in the middle of the night, foot-in-hand, scratching like there was no tomorrow.  My palms and the soles of my feet itched like CRAZY!  I casually mentioned it on my birth club on BabyCenter.com and someone told me that it was very important that I report it to the doctor right away.  As many of you know, getting (and staying) pregnant was a long struggle so I wasn't going to take any chances.  I headed to the urgent care at Kaiser and asked to be seen by an OB.  I explained my symptoms to Dr. Lee - worried about the dreaded Cholestasis of Pregnancy.  She was skeptical because as rare as Cholestasis was in general...it was 100 times MORE rare for it to present in the first trimester...but she ordered the blood tests anyway.  Unfortunately the diagnosis came back and I indeed had Cholestasis.  I itched from the inside out until the day Maddox was born.

32 Weeks Pregnant
I spent my entire pregnancy under the fabulous care of Dr. Gupta, the perinatologist at Kaiser.  He was driving up to Lancaster at the time to see patients in the area, so I was lucky enough to have him throughout my entire pregnancy.  The plan was to deliver between 37 and 38 weeks...but at 32 weeks my numbers took a turn for the worse.  He was very concerned that Maddox wouldn't make it to 37 weeks so he prepared for the worst.  At 32 weeks I had my first steroid shot, for lung maturity.

Maddox at Birth33 Weeks Pregnant
At 33 weeks they administered another steroid shot and told me to be prepared to deliver the following week.  It was all happening so fast.  With only days to spare, we furnished the nursery and my friends threw me a baby shower.  Seriously...days before I delivered.

34 Weeks Pregnant
Dr. Gupta had us come down to Panorama City for an amniocentesis to check his lung maturity.  The plan was to go home after the amnio and wait for the results the following day.  But, as pregnancies often prove, plans are NOT concrete.  As he withdrew the fluid a very concerned look came across his face.  He said "you aren't going anywhere...we are inducing you today."  OMG - I didn't know what to do.  Madison (who was in half-day Kindergarten) was at school with no one to pick her up and here I am, 50 miles away, about to be induced.  There was no choice but to send David back up to Palmdale to pick her up from school.  I was on my own until the next day.

It all started with some Cytotec...
Being 34 weeks pregnant, my cervix was NO WHERE near ready for a delivery, so they had to start me off on a dose of Cytotec.  One dose takes 12 hours, so I knew I was in for a long haul.  I think it was a little unnerving to be going through this all alone, so my blood pressure crept up.  To bring it back down they put me on Magnesium Sulfate via IV.  They came at me with a catheter and visions of Madison's birth crept in my head.  I begged and pleaded with the nurse who finally agreed to keep it out.  They didn't want me up walking around with the magnesium but I proved that I could do it.  (It is much like being drunk off your butt...so I just took small steps and told her I felt fine.  It worked too...I avoided the dreaded catheter throughout the entire ordeal!)

Maddox in the NICU...and the Cytotec continued...
One dose was not nearly enough...so I had to go onto another 12 hours of the Cytotec before they would start the Pitocin.  I really felt like this would go on forever.  But by now it was the next day and David was there.  It was nice not being alone.

Finally the fun begins...P-I-T-O-C-I-N = HOLY HELL!!
Before they turned on the Pit I was extremely adamant about NOT having an epidural.  I had THREE failed epidurals when I was in labor with Madison and in the end, I felt everything and it really wasn't unbearable.  I had prepared myself from day one in this pregnancy and was ready to go the distance.  Boy did I NOT understand the difference between a natural contraction and a Pit contraction.  Owieee.  I finally asked for the Epi and the nurses jokingly laughed and said "oh no, you said you didn't want one."  Of course, they were making the arrangements as they made the jokes, so we were all cool.

Epidural = Needle in Spine = Panic
You should really know the hell I endured with the epidurals at AV Hospital when I was in labor with Madison.  The first one they administered numbed my chest and arms.  HELLO!!  WTF!!  They tried again and nothing...and again...and nothing.  It was a horrible experience of needles in my spine for absolutely nothing.  When it was time to do it again I was actually rather terrified.  I explained the situation to the nurse and the anesthesiologist...which really helped.  They calmed me down and we proceeded.  And then I blacked out.  Thinking back it was almost an embarassing moment.  I was so scared I literally passed out.  After I came to I had enough courage to go ahead with it.  Yeah, I'm not even SLIGHTLY exaggerating this.  So...she starts...and the catheter that goes into the spine was defective.  I still remember the horror in her voice when she explained to me that we had to start over with a new one.  She thought I would freak.  I took a deep breath and said let's do it.  We did it.  Within minutes I was able to get some rest and my labor progressed quickly from that point.

Maddox and DaddyWe sent everyone home...
It looked like nothing was going to happen that evening, so we told everyone to go home and come back in the morning.  There was no sense in everyone sleeping in uncomfortable chairs when they could get a good night's sleep at home and come back refreshed in the morning.  Silly us.  Within about 15 minutes of sending family home...Maddox made his very abrupt appearance.

My water broke...
I had only been at about 6cm when we sent everyone packing.  I was going to settle in for a nap when out of the blue my water broke and I was at 10cm.  I told the nurse I was ready to push so she called the doctor.  The doctor told her to let me do a couple of "practice pushes" while she finished getting ready.  I gave it one good push and the nurse called the doctor to hurry up...one more push and he would be delivered.  It was that simple too...one good push and Maddox was born.

MaddoxThe NICU team was standing by!
I had suddenly become aware of the large team of people in my delivery room...waiting to take Maddox away to the NICU.  They let me hold him briefly but then he was whisked away.  It was a very lonely time.  Everyone headed off to the NICU to see him.  Thank goodness for digital cameras...they came back with photos I could view on the screen.  He started out breathing on his own but apparently he started grunting so they had to use a CPAP on him.  He was getting room air through a mask.  Luckily he only had it on for a few hours, but it was tough to see him like that.  He was very little...only 5lb 8oz.  He had not hit that stage in the pregnancy where fat develops...so he was skinny and wrinkly.

NICU Visits
Unlike full term babies, Maddox did not room-in with me.  He spent his time in the NICU.  I could visit him after stopping by a scrub room...and I could only visit for short periods at a time.  We watched him go from the warmer, to the isolette, to the standard bassinet during his NICU stay.  I pumped breastmilk which was delivered by a feeding tube for a few days, before he developed a strong enough suck to take it by bottle.

Maddox at homeI was discharged...my son wasn't.
This was probably the hardest day of my life.  The pain of leaving the hospital without a baby in your arms is unbearable and there are no words to explain it.  I felt so empty.  I brought home a hospital-grade breastpump and would pump every 2 hours, as though he were there nursing on schedule.  Each morning I would drop Madison off at school and then drive to Panorama City to deliver breastmilk and spend what little time I had with him.  I had to be back by noon to pick Madison up from school, which didn't leave me much time to visit.  I would call for an update every afternoon.  Finally one day the pediatrician said "you know, we are basically just babysitting him."  It was so nice to hear.  He was only in the NICU for a week (because he was on a 7-day antibiotic by IV)...but it was the longest week of my life at that point.

Maddox and MadisonAnd on the 8th day, he came home.
I still remember my excitement that morning.  We dropped Madison off at school and headed down to pick Maddox up from the hospital.  Before we could leave we had to complete the CPR course.  Of course, being an EMT, David is CPR certified, so he sat back and watched as I completed the video and such.  I just wanted to bundle my little guy up and take him home.  When we finally did leave, I sat in the backseat with him, just staring at his tiny, little face all of the way home.  When we picked Madison up from school she was beside herself with excitement.

Maddox's Page - Birth Story - Photos - Videos