Midwives' Log - Birthday

5-27-13
Feeling much better. No nausea or throwing up. Getting good rest.
3:00P started timing contractions. Irregular.
5:30P talked to midwife, had a break from 5:39 - 6:03 then kept having stronger contractions.
7:00P talked to midwife again. Irr contractions. c/o nerve pain running down inside part of leg.
8:00P talked to midwife - contractions still strong.
9:00P talked again w/ midwife - irr contractions, c/o round ligament pain. Pinkish show all day, had red streaking in mucus that night. Mom kept eating good all day, keeping it down.
9:15P midwife left, mom wanted them with her. Contractions getting stronger.
11:10P midwife arrived (primary)
Contractions strong, irr. Mom laying on. L side moaning through contractions.
11:17P baby is LOA? (fast check between contractions) FHT 148, heart tones down low.
11:19P mom up to bathroom - back to laying on R side. Eating apple between contractions.
11:46P contractions irr but stronger, lasting over a min.
11:53P up to walk hallway some
"I feel like I'm going crazy because it hurts so much." "don't touch me."
11:56P going to go to bathroom. Baby looks lower when up walking - contractions 2mins
5-28-13
12:05A kneeling. "I feel so tired from these but they're too close for me to sleep."
Mom does not want to move during contractions.
12:14A second midwife arrived
12:15A FHT 132 by doppler
12:34A walking hallway "I don't want to be still right now at all." drinking water. Contractions irr - lots of pressure.
12:39A went to bathroom. Bloody show slight.
12:40A into tub. "feeling better."
12:51A "every time I don't think it could hurt worse it does."
12:54A nausea
12:57A belching
1:00A kind of emotional
1:02A vomiting
1:05A FHT 160 by doppler
1:06A out of tub
1:08A lie down on L side
1:12A contractions much stronger, not as close
1:23A nausea
1:24A strong contraction -overwhelming. Moved to kneeling "oh my God"
1:45A up to urinate
Contractions have been irregular ~2-8min
1:48A walking
2:10A going to lie down
2:20A FHT 128 by doppler
2:30A kneeling over pillows on bed
2:32A taking a shower
2:55A out of shower
3:00A rectal pressure, trying to move bowels; feeling a little "pushy"
Bloody show. Moved bowels a little.
Contractions 3min
3:10A changing positions frequently
Trying to rest
3:23A FHT 124 by doppler
3:25 TENS unit applied
3:31A dry heaves
3:36A up walking. Does not want to be touched during contractions.
4:05A light pushing urge
4:10 pelvic by request
Cervix more forward. Softer except for scar tissue. Baby is lower, effaced more. 4:26A pelvic station +2 w/ contraction
Cervix is 8cm. Pulled cervix forward putting pressure on scar tissue
4:36A cervix is 9cm. Now baby is asinclytic.
4:48A 1st push directed
Edge of cervix on R side.
4:50A
5:09A FHT 124 by doppler
5:19A waters broke clear
5:28A FHT 108 by doppler
5:31A FHT 112 by doppler
5:44A moved to kneeling
5:48A emotional from pain
5:51A squatting through contractions
Pushing up edge of cervical lip manually.
6:00A FHT - under 100 told mom to bring it up
6:05A ginseng royal jelly 10cc given -sm edge of cervical lip on L side
Breathing through contractions
6:17A FHT 140 by doppler
6:18A passed some meconium
Pushing with contractions. Strong pushes able to see baby's head.
6:45A FHT by doppler 120+
Baby's head able to be seen on perineum.
6:52A mom felt baby's head
7:23A FHT 120 by doppler. Sped up at mom's command.
7:32A 1st crowning
7:34A head out
7:35A It's a girl!!! Over intact perineum, lots of thick meconium.
Wt 7lbs 7oz. Apgar 1min:9 ,5min:9
Length 20 1/4"
7:48A cord stopped pulsing. Clamped. Cut by father.