The Way it All Went Down

One year ago, if you’d told me I’d be putting my birth story on the Internet, I’d have totally thought you were drunk. But, what a difference a pregnancy makes. I feel like it’s important to share what happened, for my own mental clarity and for the sake of pregnant T1s all over the land. That said, I promise not to get gross here.

Picture it: Jacksonville, August 2012. It was a Thursday morning, I was hugely pregnant, and I’d been experiencing weird symptoms for a few days. Part of me felt like something had just shifted — I felt a bit more normal than I had in months, I was feeling a lot of Braxton Hicks contractions, and I had some suspicions that my water had broken. At the same time, I didn’t want to be that person who goes to the hospital 17 times with false labor, so I was trying to keep my cool. I had a standing appointment that morning for a non-stress test, so I figured I’d bring my concerns up as soon as I got to the doctor’s office.

Once I arrived, I explained my situation to the same nurses I’d been seeing twice weekly for the last four weeks. They hooked me up to the fetal heart monitor, and let the OB know what was going on. Everything was pretty much normal, except that the wee one’s heart rate seemed to take a brief dip every several minutes. It didn’t seem like anything to freak out about, they all explained: the baby could just be rolling around, or could have the umbilical cord all wrapped up in her fist. But, given my suspicions about my water breaking, they decided to send me down to Labor and Delivery, just to be safe.

I knew things were getting official when they loaded me into a wheelchair. I ended up in a bright little hotel-like room on the second floor of the building, and met Dana, the nurse who’d be taking care of me that day. Fully expecting to be sent home in a few hours, I changed into the worn blue gown the hospital provided and climbed into the Super Robot Bed 3000 in the corner. Had I known what was coming, I probably would have done a few push-ups first.

My other OB entered the room a short time later to assess the situation. She did a few tests, and sent them off to the local CSI lab, the Pentagon, and several other independent labs for extensive analysis. A few minutes later, the results were back: my water had indeed broken, and I would be having the baby in the next day or two.

The stuffed Peep I used as a focal point to help me withstand labor pains. This may be the only time in my life a Peep has failed me.

This, of course, was the moment that I realized I was not really ready. I hadn’t practiced the Hypnobirthing scripts as much as I’d meant to. I didn’t have my preferences for things like umbilical cord clamping procedures on record. I hadn’t even started writing my baby gift thank-you notes, and I was still lacking a concrete plan for the management of my blood sugars during labor.

My CGM graph the morning of Magpie’s birth. That Regular insulin isn’t so bad, after all.

I talked to my nurse and my OB about my pump and my CGM, and explained that I’d like to keep both of them on and functioning as long as I could, and they were okay with that. And then my blood sugar crashed. Not an hour after I’d been in the room, I was 64 and falling, and freaking out. Here I was, trying to project the image of a diabetic woman who was so in control, so on top of it all, that I could manage the rigors of labor and my blood sugar levels without outside assistance. I felt like a drunk person struggling to stand upright in the middle of my own intervention, insisting that I didn’t even like the taste of alcohol. It didn’t work.

I wasn’t supposed to consume anything but ice for the duration of my hospital stay, but I think that low scared the nurses enough to ensure a steady supply of apple and orange juice. “These are only for emergencies,” Dana the Nurse told me, stacking foil-sealed portions of juice on the bedside table. “You’re not supposed to drink anything, but if you need ’em, you need ’em.”

Contraband juice! And my fancy Fossil meter holder.

Several minutes and a few plastic cups of room-temperature apple juice later, Dana announced that they’d like to hook me up to an insulin drip and have me check my blood sugar every hour. I’d already gotten an IV for the administration of fluids and dextrose and antibiotics, so all it would take was another bag hanging on the little IV stand thingie. I called my CDE, who encouraged me to go along with the doctors’ and nurses’ recommendations. “They know what they’re doing,” she said. “They’ll take good care of you.”

And they did. I was doubtful at first, especially when the nurse walked in with an IV bag of Regular (Regular!) insulin.

“Are you sure about that?” I asked her. “I seriously haven’t used Regular since the mid-nineties.”

She was sure; apparently rapid-acting insulin like Humalog isn’t available for IV administration, so I’d be kicking it old-school for the duration of my labor. Hours later, after my blood sugar had stayed faithfully in the low-100s range, I’d feel like an insulin snob for doubting that bag of Regular insulin. In fact, my blood sugars were pretty much perfect for the rest of the time I was hooked up to their IV, with one exception: during the installation (if you can call it that) of the epidural.

Bob, me and Dana the Nurse. Look how much fun we’re having!

Six or so hours and several dozen deep, relaxing breaths into the labor process, I realized I’d be needing that epidural after all. Driven by curiosity and stubbornness and all the Hypnobirthing hoopla I’d been immersing myself in, I’d gone into the labor experience wanting to see how long I could make it without the meds. This was supposed to be the worst pain ever? But also perfectly natural and experienced by billions of women throughout thousands of years? Bring it on, I thought. Let’s see how I do.

I don’t think I was prepared for the kind of pain I felt. You know those weird little gas bubbles that you sometimes get in random places, like in your ribs or just under your shoulder blades? That’s what it felt like. But instead of a tiny gas bubble, this pain felt more like a giant, pulsating orb of wrenching pressure, almost all the way up my back. Making matters worse, I was tethered to the World’s Most Uncomfortable Hospital Bed by two IV lines and four tubes. There would be no warm showers or walks down the hall or leaning over the bed to ease the pain. I was stuck.

I started sweating. And shaking. And crying. There was wailing and gnashing of teeth — and that was before the anesthesiologist (his name was Dr. Kramp!) began threading the epidural into my spine. That’s, like, the bonus pain — an extra series of pinches and stabs before you can start to get comfortable.

After the epidural was in and my toes began to tingle and itch, my CGM chimed in with a “High” alarm, so I checked my blood sugar. Twenty minutes prior, I’d been happily coasting along at 110. Now I was at 327. Hello, adrenaline rush.

While copious quantities of Regular insulin were pumped into my arm, I settled in for the remainder of labor. I knew I was nowhere near where I needed to be, but the epidural was such a relief that it was almost fun, and I looked forward to hanging out with my friends and my parents while we waited for the Magpie to show up. Just in time to freak my parents out, the nurses strapped an oxygen mask to my face to help stabilize the baby’s heart rate. I mean hey — if you’re going to get into the “medicalization of childbirth,” you might as well go all out, right?

The night passed, and what I remember most about it are that a) I didn’t sleep at all, thanks to continuing hourly blood sugar checks, and b) I had another wonderful nurse, who remained suspiciously chipper and dedicated to my well-being even as the end of her 12-hour shift drew near.

I don’t remember much from the next morning, either, except that I saw the sun rise through the cracked window blinds and enjoyed an invigorating breakfast of ice chips and oxygen. Labor progressed, as labor does, Dana the Nurse returned for Friday’s shift, and my epidural started to wear off in weird places. My back was still killing me, and each time I pushed the magic button for more “juice,” I felt a burning and cramping sensation where the medicine dripped into my back.

It must have been around 10:00 when my primary OB decided that I was ready to start pushing. It was happening! For real! I was out of the “sit around and be uncomfortable” stage of labor and entering the “get it done” stage.

As it would happen, the “get it done” stage of labor and childbirth lasted about two and a half minutes – for me, at least. After just a few pushes, the Magpie’s heart rate started to drop again, and everyone completely lost their shit, to use a technical term.

Suddenly, my labor and delivery room was like a scene out of poorly recreated emergency-room show on the Discovery Health network. I would be having a C-section, and there were at least ten nurses, anesthesiologists, physicians and surgeons swarming around the room to make sure it would be in the next few minutes. A new anesthesiologist cranked about six gallons of extra-special C-section fluid into my existing epidural, and a nurse gave me a small cup of something bitter and disgusting “for your stomach.” They flung me onto a gurney, and as I began to sob uncontrollably, wheeled me into an adjoining operating room.

I’m not proud of how I responded, but I was terrified and pissed off — and I hadn’t slept, eaten, or had anything to drink since my bowl of Cheerios and Diet Coke 28 hours earlier. I began playing my favorite mental game, What Did I Do Wrong and How Could I Have Prevented This?, as the nurses hung up that awful C-section sheet and wrapped my upper body in folded towels. I should have taken my Iron supplement more faithfully, I thought. I shouldn’t have gone with the epidural. I should have waited to start pushing.

God bless the second anesthesiologist on duty that day. She sat next to me and tried to distract my pitiful self with stories about her family, questions about my work and my husband, and jokes about the towels that were positioned around my head. “You look just like Mother Theresa!”

It seemed to take an eternity, but I’m sure it was just a few minutes before she was born. I remember the anesthesiologist telling me that she was out, and then hearing a cry that sounded almost exactly like a kitten. And I was so jacked up on a variety of painkillers that I actually entertained the idea, just for a second, that maybe I’d given birth to a cat instead of a baby person.

After that, I crashed. I remember Bob bringing the baby over, clean and swaddled and be-hatted, for me to look at, and I remember the calm, interested expression on her face. I was still doing all the crying; she just looked at us like, “I’m here. Now what?”

As I struggled to stay awake and/or stop crying, Dana the Nurse accompanied me to my recovery room. I gulped and blubbered, and she leaned over the bed.

The Magpie!

“What’s wrong, honey? Why are you crying?”

I tried to go through all the feelings of self-blame and regret and also joy and disbelief that I was feeling at that moment, but I was too out of it to speak. My mouth wouldn’t work. After several attempts at forming a coherent statement, it was all I could get out: “I’m. So. Fucked. Up.”

And that was it. I passed out for what felt like a day and a half, but was actually just a couple of hours. When I woke, Bob was there with a picture on his phone of our little Magpie, and shortly after I was able to see and hold her myself.

Despite all the drama, I’m proud to report that we didn’t have any real problems — at least not the kind they make Lifetime movies out of. Her blood sugar dipped quite a bit shortly after birth, but she recovered. Also, she had jaundice, so Bob and I spent a few days force-feeding her and strapping her to a tiny tanning bed once we returned home.

It’s the champagne of diet ginger ales, really.

But I did it. I made it out alive, with a kick-ass A1c, a healthy (if early) baby girl, and a crazy new scar. We spent the next several days on the Maternity floor, introducing the Magpie to her new friends, enjoying scrumptious hospital “diabetic” meals, gulping pain medications and watching bad TV.

People always talk about that moment that you get into the car with your new tiny family member and wonder, “What are we doing? How are we allowed to leave with this baby?” I didn’t feel that, though. We clicked the Magpie’s car seat into its base and started our 3-mile trip home through the rain. We merged onto the highway, and I turned to Bob.

“I could totally do this again,” I said. “Couldn’t you?”

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21 comments on “The Way it All Went Down

  1. krisfitz says:

    Wow – congratulations to you and Magpie!!! Never mind having a c-section – you did have a baby old school! She’s gorgeous. 🙂

  2. Joanne says:

    Your story had me laughing and crying at the same time… The tears mostly due to pregnancy hormones and the fact that your story closely mirrors my delivery (minus the diabetes of course) with Elise. And maybe a little bit to do with the fact I’m gonna be sliced open again in about 3 months time…

    Congrats… She’s a beautiful cat… Er, baby girl. You done good.

  3. Harry says:

    That was one of the most entertaining birth stories I’ve read…and I’ve read a lot. Or several. Okay, two. But that one was definitely the best. 🙂

    Congrats to all 3 of you!

  4. AJ says:

    OH wow. Congratulations on the new kitten -magpie!

  5. Scott E says:

    First of all, you are so freaking amazingly incredible for going through this (and taking pictures!), and I love how you tell the story.

    I can’t relate to the actual giving-birth thing (though I’ve seen it twice), so for me to get all sappy and emotional about that part would be disingenuous and forced. So I won’t. Instead, I’ll get technical.

    Regular insulin was the right choice. It’s called “Regular” because it’s practically the same stuff that your husband, my wife, and most others have flowing through their veins. And it’s super-fast acting. The problem we normally getting it from an injection/infusion site into the bloodstream, hence the “rapid-acting” log insulin. They do something with the shape or the pH of the molecules to get it absorbed more quickly. But your IV had that part covered, so Regular is just fine. If it were Apidra, Levemir, or NPH, it probably would have performed the exact same way.

    I remember the first drive home with my first newborn: terrifying. I was going 30 mph in the right lane of a snow-covered Long Island Expressway and trusting no one. It certainly felt different to have a newborn in the back seat.

    In all, I’m so glad that everything ended well and that the event wasn’t Lifetime-movie-worthy. Congratulations and best of luck to all of you!

  6. mewithd says:

    Awesome story! I found myself holding my breath at some points and then thinking, “Yeah, I know EXACTLY what you mean!” at others. (My 2nd daughter was born via scheduled c-section in April.) Congratulations!

  7. Jess says:

    I love you guys so very much, and I’m just elated that Magpie is here! I want to jump on a plane and come see you!

  8. Kerri. says:

    I have to admit to laughing – hard – at “I’m so fucked up!!” You are an amazing storyteller, and now an amazing mom. Congrats to you and Bob and that gorgeous Magpie.

  9. Heidi says:

    So well written 🙂 And I can totally relate to the part about loosing it, when the decision of c-section is made – I reacted the same way, even though for us it wasn’t as acute. We had 1½ hour or so to get use to the thought and prepare ourselves, when it was clear that none of the methods they’d tried to get to break my water had worked. That meant that there was a bit more time to get hooked up to all the IV – I got the “for your stomach” acid neutralizing drug though IV – and be informed about the procedure by the anestesiologist at duty, and also Jimmi was able to accompany me in the OR.

  10. Tina Kicklighter says:

    I’ve been waiting for this post…and it was well worth the wait.

  11. @kahoffman says:

    It’s quite a lot to get your head around, isn’t it? There was a lot of sobbing during L’s arrival, too, and a lot of guilt and worry through her NICU stay. But “eyes on the prize” was my mantra through the whole pregnancy, and it served me well during the delivery, too.

    A+, momma. You kept both of you healthy, you’ve got a gorgeous little girl, so ultimately it doesn’t matter how the hospital part went. And now you’ve got a BABY. They’re fun! And hilarious! And you can dress them up! Welcome to the ride. It isn’t a well-rested one, but it’s amazing.

    xoxo

  12. Tammy says:

    Laughter & tears here too. Congratulations and thank you for sharing it with all of us!

  13. Ashley says:

    Thank you so much for sharing. As a newly diagnosed Type 1 with hopes of having a baby/babies in the near future, it’s so nice to see and hear successful stories. Any tips and tricks you have to share as far as managing your blood sugars and such would be greatly appreciated!

  14. Auntly H says:

    I am in awe.

  15. FatCat Anna says:

    Wow, wow, wow!!! Thanks for sharing your experience with all of us. So, so happy for you and your family! Wow!!!

  16. gogogone says:

    Awesome story-.thanks for sharing it. It was similar for me,yes I took that epidural the moment they offered it,& yes I spent half an hour sobbing all over the OB’s shoulder(fun for her, I’m sure,she was also extremily pregnant) when they told me I had to have a c-section. In the end,the only thing that matters is that gorgeous baby in your arms & you make peace with the fact that sometimes things don’t go as planned. Enjoy your baby!

  17. Sara says:

    Again?! LOL! Not until I meet the first one!!

  18. shannon says:

    DR. KRAMP!

    do you know how hard it is to write an entertaining birth story? probably not, since this seems to have come to you with ease. spectacular! so much of your experience mirrored mine actually, minus the diabetes and c-section, but other than that, most of it! really! right down to the rain on the drive home. except i absolutely did NOT say anything about doing that again in the days or months or years afterwards.

    congrats again dude. amazing! ❤

  19. Katy says:

    i love this story! but i had to stop halfway through to start a comment on your fossil meter bag. then i realized that was kind of rude. then i felt i had to confess it. people with awesome meter bags obviously have the best babies.

  20. katt says:

    Aww what a good story i had my son aug 16 2012 by csection after 36 hours. So i saw your from Jacksonville. Is that jax fl? Im from there thought itd be cool and my mom has had type 1 for 22 years too.cute baby 🙂

  21. Ursula says:

    There was a comedian that said that it is amazing that a woman who would normally worry that her slip was showing couldn’t care less if a circus parade marched through the birthing room. Your sharing, by his standards, is more than normal. Many happy returns!

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