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	<title>Kid Amnesiac &#187; Labor &amp; Delivery</title>
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	<link>http://kidamnesiac.okcomputer.org</link>
	<description>Fast times and wild living with (the former) Baby Whozit...</description>
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		<title>Nursing Mother&#8217;s Tuchus?</title>
		<link>http://kidamnesiac.okcomputer.org/2007/03/15/nursing-mothers-tuchus/</link>
		<comments>http://kidamnesiac.okcomputer.org/2007/03/15/nursing-mothers-tuchus/#comments</comments>
		<pubDate>Fri, 16 Mar 2007 01:23:04 +0000</pubDate>
		<dc:creator><![CDATA[Jessica]]></dc:creator>
				<category><![CDATA[Baby!]]></category>
		<category><![CDATA[Jessica]]></category>
		<category><![CDATA[Labor & Delivery]]></category>

		<guid isPermaLink="false">http://kidamnesiac.okcomputer.org/2007/03/15/nursing-mothers-tuchus/</guid>
		<description><![CDATA[You&#8217;ve heard of tennis elbow, right? Or of washerwoman&#8217;s knees? I have a new one to add to the canon of occupation-specific maladies: Nursing Mom&#8217;s Tuchus. Apparently I am not used to sitting so long in this particular posture. That or my poor-man&#8217;s Aeron downstairs is a better chair than I gave it credit for. [&#8230;]]]></description>
				<content:encoded><![CDATA[<p>You&#8217;ve heard of tennis elbow, right? Or of washerwoman&#8217;s knees? I have a new one to add to the canon of occupation-specific maladies: Nursing Mom&#8217;s Tuchus.</p>
<p>Apparently I am not used to sitting so long in this particular posture. That or my poor-man&#8217;s Aeron downstairs is a better chair than I gave it credit for. Whatever the case, since Simon arrived on the scene, I have noticed an increasing tenderness at the base of my spine.</p>
<p>It doesn&#8217;t hurt when I&#8217;m actually sitting. Thank goodness for that small mercy. But whenever I shift or get up, I&#8217;m in short-lived agony. It&#8217;s something like a dull stab or sharp ache&#8211;and yes, I&#8217;m aware those are both oxymorons.</p>
<p>Has excessive sitting bruised my coccyx?</p>
<p>It turns out this pain may be exacerbated by nursing but not have been caused by it. A quick Google search on &#8220;coccyx pain&#8221; turned up several sites about coccydynia, a pain disorder often caused by trauma during birth. So then more accurately I have &#8220;Birthing Butt&#8221;, which has nothing to do with nursing but is still Simon&#8217;s fault.</p>
<p>It appears that if regular treatment fails&#8211;and I have no idea at this point what regular treatment would be&#8211;the nuclear option is surgical removal of the coccyx. No kidding. I&#8217;ll try to <em>sit that one out.</em></p>
<p>I&#8217;ll also read a little more. Perhaps sitting on a donut cushion will take care of things. Or maybe the condition will improve when nursing is over. (Hey, I&#8217;ve made it this far largely ignoring the problem&#8211;what&#8217;s another six months?) And then, and only then, I&#8217;ll consult a doctor. I&#8217;m not even sure what kind of doctor to see!</p>
<p>For now, I&#8217;m calling it Nursing Mother&#8217;s Tuchus and will assume it&#8217;s only a matter of time before it goes away. Because really, who likes the sound of Birthing Butt? It&#8217;s <em>asinine.</em></p>
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		<title>Labor and Delivery</title>
		<link>http://kidamnesiac.okcomputer.org/2006/10/19/labor-and-delivery/</link>
		<comments>http://kidamnesiac.okcomputer.org/2006/10/19/labor-and-delivery/#comments</comments>
		<pubDate>Thu, 19 Oct 2006 19:40:28 +0000</pubDate>
		<dc:creator><![CDATA[Jessica]]></dc:creator>
				<category><![CDATA[Jessica]]></category>
		<category><![CDATA[Labor & Delivery]]></category>

		<guid isPermaLink="false">http://kidamnesiac.okcomputer.org/2006/10/19/labor-and-delivery/</guid>
		<description><![CDATA[Now that we&#8217;re home, I thought I&#8217;d write about the actual labor and delivery while I can still remember any of it. The short version is that it was great&#8211;easier and shorter than I expected and a positive and empowering experience. As Matt wrote earlier, I delicately woke him at around 5:20 a.m. Monday with [&#8230;]]]></description>
				<content:encoded><![CDATA[<p>Now that we&#8217;re home, I thought I&#8217;d write about the actual labor and delivery while I can still remember any of it.</p>
<p>The short version is that it was great&#8211;easier and shorter than I expected and a positive and empowering experience. As Matt wrote earlier, I delicately woke him at around 5:20 a.m. Monday with the declaration that my water had broken. It felt and sounded like a water balloon popping, and I knew immediately that I was going to become a mom that day.</p>
<p>I was slightly disappointed at this turn of events, though, as I also knew that I&#8217;d have to go directly to the hospital and would not be allowed to labor at home as I had planned. I also knew that it was common for there to be a long delay between water breaking and the beginning of contractions. If that time stretches too long, you are likely to go on a pitocin drip, a labor intervention I was fervently hoping to avoid.</p>
<p>Sure enough, when Matt called my OBGYN&#8217;s office with the news, they instructed us to go to the hospital right away. But before I could get too upset, my contractions began. And to my surprise, they started off at 5-6 minute intervals, each lasting about a minute. By the time Matt and I made it out the door to go to the hospital, my contractions were about 4 minutes apart and lasted 60-80 seconds each. Things were moving!</p>
<p>At triage, I was assessed at 3 cm. dialated. Active labor is usually reckoned at 4-7 cm, transition runs from 7-10, and pushing begins once you hit the 10 cm. mark. Based on those numbers, I assumed it was early days yet when I hit the labor and delivery room with Matt and Brenda (my doula).</p>
<p>Wrong again! By 10:00 a.m. the contractions were getting stronger and closer together, and Brenda kept having to remind me to look at something other than the clock. Having my membranes broken meant that I had to stay in my room, preferably in bed. These restrictions cut down on my mobility greatly, but it turned out that I was less interested in moving than I expected. For the most part, I just wanted to sit on the edge of the bed, lean forward, and squeeze Matt&#8217;s hand to get through a contraction.</p>
<p>By 11:45 or so the contractions had gotten long and painful, many had dual peaks, and sometimes one began before the previous one had completely stopped. I knew I <span style="font-style: italic">could</span> handle the pain if I had to, but I had decided that I didn&#8217;t want to. There were many aspects of having an epidural that I found unappealing, but at 11:45 the prospect of pain cessation trumped them all. My only fear was being told that I wasn&#8217;t far enough along to get one yet.</p>
<p>Turns out I was nearly 8 cm. dialated&#8211;halfway through transition and quickly nearing the pushing and delivery phase. I could get an epidural if I wanted one, but it would be around 30-40 minutes before the procedure was complete and would therefore probably only buy me an extra 20 minutes or so of pain relief before it was time to push. And for those 20 minutes, I&#8217;d have to contend with having a catheter, having my blood pressure drop, losing some control over pushing, further restrictions on moving, having tape all over my back, and&#8211;oh yeah&#8211;having a needle in my spine.</p>
<p>For me, this tradeoff wasn&#8217;t worth it. So much to my surprise, I realized at around noon that I was going to deliver my baby medication free.</p>
<p>I&#8217;ll be honest that the next hour was rough. The contractions hurt a lot, and before too long I felt an urge to push but wasn&#8217;t allowed to. The way around this is to take in a deep breath and blow it out in short, hard puffs. On a good contraction I did this well and was praised for my control. On a bad one I pushed a tiny bit, squeezed Matt&#8217;s hand like a vice, and yelled loudly. According to Brenda, the yelling was wasting my energy and was not productive. I knew she was right, but I couldn&#8217;t always stop myself.</p>
<p>This was the time Brenda was worth her weight in gold. Somehow, she knew that reassurances would do nothing for me and instead took charge and gave me orders. She forced me to look at her, she modeled the correct breathing pattern for me, and she was firm with me when I got off course and started to yell. In short, it was like having your mom yell at you if she knew an awful lot about labor. Perfect.</p>
<p>By 1:00 p.m. or so it was time to push, by far the most satisfactory part of labor for me. First of all, the pressure of the baby interrupted nerve signals and prevented me from feeling any significant pain. Secondly, after fighting the urge for so long, it was a huge relief to give in to my body&#8217;s urges. Last but not least, it was immensely more satisfying to <span style="font-style: italic">do</span> something with each contraction rather than passively experience it; I relished the chance to exert myself and actively participate in birthing my baby.</p>
<p>That&#8217;s nearly the whole story. With my small cheerleading squad urging me on, I pushed as hard as I could for 30-40 minutes. At around 1:48, p.m., the baby&#8217;s heart tones dropped slightly, Gigi (the OBGYN on call) cut a small episiotomy (for which she apologized profusely), I pushed one final time, and then looked up to see the doctor holding my baby and announcing I had a son.</p>
<p>It was an amazing experience. And while I&#8217;ve heard other women say they&#8217;ve never experienced pain like childbirth before, for me that was simply not the case. I&#8217;ve had mystery stomach ailments that hurt as much. I&#8217;ve had food poisoning that hurt as much. I&#8217;ve had menstrual cramps that hurt nearly as much. And I had a bout of muscle pain in my second trimester that hurt as much. The difference? None of those other pains were for anything good, whereas after 8 relatively short hours, this one gave me my son and a new respect for my body&#8217;s strength and engineering.</p>
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		<slash:comments>3</slash:comments>
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		<item>
		<title>Welcome, Simon!</title>
		<link>http://kidamnesiac.okcomputer.org/2006/10/16/welcome-simon/</link>
		<comments>http://kidamnesiac.okcomputer.org/2006/10/16/welcome-simon/#comments</comments>
		<pubDate>Mon, 16 Oct 2006 19:00:03 +0000</pubDate>
		<dc:creator><![CDATA[Matthew]]></dc:creator>
				<category><![CDATA[Labor & Delivery]]></category>
		<category><![CDATA[Matthew]]></category>

		<guid isPermaLink="false">http://kidamnesiac.okcomputer.org/2006/10/16/welcome-simon/</guid>
		<description><![CDATA[Say &#8220;Hi&#8221; to Simon (six pounds, eight ounces).]]></description>
				<content:encoded><![CDATA[<p>Say &#8220;Hi&#8221; to Simon (six pounds, eight ounces).</p>
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<p><img src="http://kidamnesiac.okcomputer.org/wordpress/wp-content/uploads/2006/10/10-16-06_1446.jpg" title="10-16-06_1446.jpg" alt="10-16-06_1446.jpg" /></p>
]]></content:encoded>
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		<slash:comments>2</slash:comments>
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		<item>
		<title>Live From The Field</title>
		<link>http://kidamnesiac.okcomputer.org/2006/10/16/live-from-the-field-2/</link>
		<comments>http://kidamnesiac.okcomputer.org/2006/10/16/live-from-the-field-2/#comments</comments>
		<pubDate>Mon, 16 Oct 2006 18:00:01 +0000</pubDate>
		<dc:creator><![CDATA[Matthew]]></dc:creator>
				<category><![CDATA[Labor & Delivery]]></category>
		<category><![CDATA[Matthew]]></category>

		<guid isPermaLink="false">http://kidamnesiac.okcomputer.org/2006/10/16/live-from-the-field-2/</guid>
		<description><![CDATA[]]></description>
				<content:encoded><![CDATA[<p><!-- 		============ 		If you can read this text, but much of the message below seems unreadable, you might be using an e-mail program that does not work with HTML. 		 		============--> 		 		<!-- 		 		.footer { 			font-family: Arial, Helvetica, sans-serif; 			font-size: 11px; 			color: #555555; 			text-decoration: none; 		} 		.normal { 			font-family: Arial, Helvetica, sans-serif; 			font-size: 10px; 			color: #555555; 			text-decoration: none; 		} 		 Mime Type of File is image/jpeg --><img src="http://kidamnesiac.okcomputer.org/wordpress/wp-content/uploads/2006/10/10-16-06_1354.jpg" title="10-16-06_1354.jpg" alt="10-16-06_1354.jpg" /></p>
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		<slash:comments>3</slash:comments>
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		<title>Contractions</title>
		<link>http://kidamnesiac.okcomputer.org/2006/10/16/contractions/</link>
		<comments>http://kidamnesiac.okcomputer.org/2006/10/16/contractions/#comments</comments>
		<pubDate>Mon, 16 Oct 2006 10:36:23 +0000</pubDate>
		<dc:creator><![CDATA[Matthew]]></dc:creator>
				<category><![CDATA[Labor & Delivery]]></category>
		<category><![CDATA[Matthew]]></category>

		<guid isPermaLink="false">http://kidamnesiac.okcomputer.org/2006/10/16/contractions/</guid>
		<description><![CDATA[We&#8217;ve been up for just a little over an hour since Jessica&#8217;s water broke, and the contractions started probably a half an hour ago. Six and a half minutes between contractions and the last one lasted a minute and twenty seconds. No more blogging for me &#8212; I&#8217;ve got stuff to do&#8230;.]]></description>
				<content:encoded><![CDATA[<p>We&#8217;ve been up for just a little over an hour since Jessica&#8217;s water broke, and the contractions started probably a half an hour ago.  Six and a half minutes between contractions and the last one lasted a minute and twenty seconds.  No more blogging for me &#8212; I&#8217;ve got stuff to do&#8230;.</p>
]]></content:encoded>
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		<slash:comments>1</slash:comments>
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		<item>
		<title>D+1: It&#8217;s Showtime!</title>
		<link>http://kidamnesiac.okcomputer.org/2006/10/16/d1-its-showtime/</link>
		<comments>http://kidamnesiac.okcomputer.org/2006/10/16/d1-its-showtime/#comments</comments>
		<pubDate>Mon, 16 Oct 2006 09:28:48 +0000</pubDate>
		<dc:creator><![CDATA[Matthew]]></dc:creator>
				<category><![CDATA[Labor & Delivery]]></category>
		<category><![CDATA[Matthew]]></category>

		<guid isPermaLink="false">http://kidamnesiac.okcomputer.org/2006/10/16/d1-its-showtime/</guid>
		<description><![CDATA[Well, here&#8217;s a way to wake up: &#8220;Holy @#$%, Matt &#8212; my water just broke!&#8221; And did it ever! But still no real labor. We&#8217;re gonna call the doctor&#8217;s office in a little bit and see what they want us to do. Stay tuned&#8230;.]]></description>
				<content:encoded><![CDATA[<p>Well, here&#8217;s a way to wake up: &#8220;Holy @#$%, Matt &#8212;  my water just broke!&#8221;  And did it ever!   But still no real labor.  We&#8217;re gonna call the doctor&#8217;s office in a little bit and see what they want us to do.  Stay tuned&#8230;.</p>
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