A Doula's Experience...

Hi Doulas.  My mid July client and I went to her appt for U/S on the 3rd. Baby
had been measuring small for awhile. My client had been telling me she "felt
something was wrong."  I told her she needed to go with her mama intuition. So
on the 3rd they did an U/S and it showed very low fluid, high cord pressure, and
baby at 5.8lbs (and we all know that is almost always wrong!)  She was admitted
that evening into the high risk ward and another U/S showed even more grim results.

I spent the night with mama as her husband had to take care of their
two year old. My clients mother was flying to stay with them but not there yet.
They ran fluids, and in the late morning at 38 weeks, 3 days they (including
mama) decided that it was more beneficial for baby to be born than to stay in.
Mama was a VBAC and was so hoping she could deliver this baby vaginally.

That was not meant to be.  I explained to her that it was now important for baby to be
born quickly so she could eat at mama's, as her placenta was no longer providing
food for her baby. (they all liked that explanation!) They would not
induce and no one was sure how this small baby girl would even handle the rigors
of labor. So it was decided to do the c-section and I would be with her in the
OR.

Again her husband was with their 2 year old as they had no one to watch him
and her mom was still not here from a foreign country. They were all so
wonderful to this mama.  After they got her prepped the baby's nurse (a high risk
OB nursing instructor at a local university) came to get me. My client was
crying and extremely upset. The room was so quiet when I went in and I just went
to her and cradled her head and talked to her.

She calmed very quickly and had a death grip on my hand.  
They got to work and a 4lb 12oz baby girl was born about
10 minutes later!!  Apgars were 8 and 9!!  She was absolutely beautiful and
crying loudly!  The whole room cheered because earlier in the U/S it showed two
"bubbles" in her tummy area and they were not sure if she was ok. A
neonatologist was in the OR and after checking her declared...an extremely
HEALTHY baby girl....but only very small.

Within 1 hr 15 minutes from the start of the c-section the baby was in the
recovery room with mama and I had a very happy nursing relationship started!  
This little baby took to nursing right from the get go....perrrrrrrrrrrrfect latch!
She nursed and swallowed for an hour. Mama had still been nursing her two year
old and not only had yummy mature milk for her little angel but colostrum.  

Mama is doing fine and is happy with her decision to go ahead with yet another section.
Upon my questioning in the OR....the placenta was very small and calcified in several places.
So there is the reason for the IUGR (intra-uterine growth retardation).

Here's such a funny story about all this.  Little baby has hair about one inch
long! As she was nursing this poor little thing kept reaching back pulling her
own hair and then yelping about it. She did this 3 times!

The baby nurse from the NICU stayed with the baby, my client, and me in the
recovery room. She asked me if I'd be willing to come speak to her high risk OB
Nursing Students at the University. You bet I would!  She says she was amazed at
how I was able to soothe my client and how well I worked in harmony with her.
The anesthesiologist came out and said the same thing to me. The NICU nurse
wants her students to start to understand "more than the medical side of a woman
laboring and delivering!"  

Another marathon birth (24 hours for this one, the last one was 32 hours) I had
never attended a birth at this hospital and was pleasantly surprised at the
welcome of a doula. The nurses even brought me in a rollaway bed and made sure I
was comfortable.  

They were so kind and gentle with my client.....empowered her even though her
birth was not the VBAC she had hoped for.
Cascade Christian Childbirth Association
    An Unexpected Outcome