a labor of love

Each woman who gave/will give birth has her own story. And so this is the story of how I labored for love.

We had our weekly checkup with my new English-speaking OB in the maternity hospital we go to. Hubs and I usually have our checkups during the weekends because of work. Once I took my maternity leave at the end of August though, I had my checkup on a weekday already and chanced upon Hayashi-san, an english speaking OB who spent some of his studies in the US. I had two checkups with him and I couldn’t be any happier. Just the mere fact of being able to talk to an OB who speaks the language I speak took off a lot worries and apprehensions off me, even when I’m already informed what with all the pregnancy books and references I’ve been reading.

Had two weekly checkups with him and on both appointments, he told me I’m already 1cm dilated. On that second appointment, Sept 14, Hayashi-sensei already scheduled me for an induced labor come Sept 19, 5pm; with highly expected delivery on Sept 20 with a probability of cesarean operation depending on my labor progress and our (mine and baby’s) condition. He decided to have it so because he thinks I have small bones and my baby is a bit big.

I have wide hips and I’ve always been told I won’t have any difficulty giving birth because of it – this apparently turned out to be another “old wives’ tale”. Another thing which made me confident I can do the normal delivery is because my mother’s babies are bigger, our youngest being at 8.6lbs, and yet she had us all with normal delivery. a tapang a tao, is what I am.

So then we prepared for Sept 19. Come Sept 16 however, I woke up at 6:30am feeling stronger contractions. I timed my contractions and they were coming at 5min intervals each. As all pregnant women know, the guideline for rushing to the hospital is 1min contraction every 5min for 1 hr. Your dilation is expected to be at 4cm at this time. Albeit it’s just a guideline – your numbers may be a bit different. Mine was 20seconds contractions at 5min interval for almost 2 hours. In those 2 hours, i vomited twice already. It was time to call the hospital. It was a Sunday. And like most hospitals here in Japan, our hospital is not open for usual checkups. But ours was an emergency and when Hubs called and told them about my contractions, they told us to come on over. They were ready for us.

I was checked however and I was still 1cm dilated. Hospital didn’t send me home because of the interval of my contractions. Another check in the afternoon, after 10 hours of pain, proved I’m only 2cm dilated.

I spent an excruciatingly painful evening, with contractions every 4minutes. Most painful during that time was actually when the contractions put some pressure on my back hence touching the part where I had my gikkuri goshi (sprained lower back) back in January which never really got quite healed. I was openly crying to the overnight nurse already, bawling like a kid telling her how painful it is and that I want a no-pain delivery already (our birth plan is normal-no-medication-hence-with-pain-delivery).

But she told me what I already suspected – Monday is a holiday in Japan hence operations with anaesthetists are not possible. She promised to tell the doctor on duty though. She also checked me again at 6am, 24 hours after my intense contractions, but I’m still 2cm dilated. Still a looong way till 10cm.

The morning didn’t provide much relief. Pain is getting more intense, both abdomen and back. I asked Hubs we walk around the hospital to facilitate baby to be positioned lower and every time the contractions hit me, which sometimes come at 3min interval, I would cling to my husband for support while I try to breathe the “sophrology” way.

A check at around 1pm showed I’m only 3.5cm dilated with baby still very much high up, not even in the zero position. I can see the worry on Hubs’ and Mayumi’s faces as they look at me, contorted in pain, both my body and my face. Nurse had to apologise and tell us to wait some more because the doctor on duty is attending another delivery at the moment. See, it was a holiday with limited doctors on duty.

When I was told I’m only 3.5cm, at the back of my mind, I was thinking that I don’t think I can endure another night of labor. I had to give birth that afternoon. I knew that my stomach should be empty if I needed to be operated with epidural or similar. Incidentally, because of the pain, I didn’t have much appetite and what little I eat, I also vomit, so there really wasn’t much food inside me in those last 36 hours.

As we waited for the doctor, my mucus plug came out but my water bag hasn’t broken yet.

When the doctor finally finished the deliveries, it was already 2:30pm. He took a look at me, judged my frame is too small for the belly he saw in me and that I should have a cesarian operation. I already received a dose of pain relief at that time hence was a bit drugged but in my mind, I was contesting him why I should have a cesarean operation – can’t he see how fat I’ve gotten and that other women smaller than me gave birth to bigger babies than mine?

After 30min though, my usual weekend OB, Tojo-sensei, the son of the hospital owner, dropped by to check on me, still in his out-of-duty clothes. I’m barely 4cm dilated. My contractions were at 3min interval already and my pain chart was reading very high. I guess fetal monitor wasn’t going well too. Hence a few minutes after his check, Tojo-sensei went back to our room and explained to my husband why the cesarean operation had to be done within the day. We had to make a go for it. Papers were signed and then I was scheduled for an operation at 5:30pm.

From then on, in the few moments that we were alone, hubs would hug and kiss me and extend his fist for that buddy sign we have whenever we make an agreement and he’d say “we can do this! you can do this”, wearing a very worried face. I’d extend a fist and give a wan smile and say “yes we can do this” albeit at the back of my mind I was saying “I hope I can do this”.

Just before I was wheeled inside the operating room (was in a wheel chair), Hubs caught up with me, stopped the nurse and right there, in front of all the people, he kissed me hard, TWICE! So uncharacteristic of my shy and conservative husband. It was then that I fully understood how worried and afraid he was for me. He knows cesarean operation is almost routine but we’ve all heard some tales and he knows I have already been through a lot of pain and stress for the last 36 hours and we’re not really assured of how my body will react during the operation.

Those kisses gave me a boost of energy and willpower I guess because even when I was barely awake during the past hour, I was strangely awake the whole time I was being operated.

Before the spinal block was administered, the head doctor talked to me – in very good English! His demeanor calmed me as i felt i was in very able hands. And indeed i was for it was the chief doctor i was talking to. So with him and Tojo-sensei on the team, i didn’t have to fret at all.

It was my first major operation ever. Everything was new to me. The overhead lights that I only saw in the movies; heart and pulse and blood pressure monitors were attached to me; oxygen supplied through a tube opening to my nosetrils. Thankfully, they explain their actions to me although I really couldn’t stop them from doing anything I didn’t like, incapacitated as I was. Once the spinal block was administered, I felt numb. It was a weird feeling – I could feel them doing something, pulling something yet I can’t feel a thing (which is exactly what the chief told me). I couldn’t see what they were doing as well because of the blue curtain which they’ve placed across my chest.

God is good. In those crucial times, He gave me blessings to help me along the way and keep my resolve up. Hubs’ kisses lent me more willpower. And an English-speaking, head-of-the-big-maternity-hospital doctor (Icho-sensei) giving me instructions in a calm and confident way throughout the operation wiped away my apprehensions on what they were doing to my body.

I’ve heard not a few times about the conservative thinking of having your baby delivered vaginally – that it’s the best thing and that you’d love your child more if so, especially if you had it with pain.

That thinking and perspective is probably one of the most stupid notions there is (well, probably next to what somebody said – that childbirth pain is akin to the pain you get after mountain climbing). The mother has no less risked her life by subjecting herself on the operating table. One of my bestfriends lost her uterus and 3/4 of her blood while undergoing CS operation and has to have blood transfusion. My operation was especially crucial as well since my body was already under stress and pain for 36 hours with my labor and who knows how my body will react during the operation.

Up to now I really don’t why I was still awake when they brought my baby up to me, drugged as I was even before the spinal block.

The first time I heard my baby cry, there was only one thought in my mind – she has such a sweet voice.

I’ve watched a number of births/deliveries during my last few pregnant weeks and it doesn’t fail to make me cry every time I see the baby crowning and then come out fully. I was even teary eyed when we visited the nursery while hubs and I were walking around while I was still on labor. The miracle of birth just amazes and touches me so.

Hence I thought I’d cry the first time I’d see my baby. But I didn’t. Rather, I felt an overwhelming relief and happiness to see my baby complete, physically and so beautiful and sweet voiced besides. And I’m really thankful I didn’t cry. Cause then the first words I was able to tell my baby were all words of admiration and love.

They brought my baby to me twice – once right after taking her out from my womb and again after they wiped her up, checked and weighed. In the latter one, I was able to kiss her on the lips three times.

Curiously enough, right after they took away my baby, I drifted to unconsciousness,waking just enough to tell the people who were doing something to my body that it’s so cold and that I’m very sleepy. Yep the only two words I can utter then were: COLD and SLEEPY. (Curious: they say you’d speak your native tongue when you’re in an extreme condition. How come I said it in English?) Because goodness it was really cold like it was winter and yet I was naked; my body was terribly shaking from the cold. And I was so sleepy that Hubs told me he can only see the whites on my eyes. I was laughing hard when hubs said how confused he was because Icho-san told him I’m ok and yet when hubs looks at me, I’m shaking uncontrollably (effect of the epidural/spinal block) and he can only see the whites on my eyes.

And so it happened that I was unconscious from a little after 6pm up to 1am. Drifted on and off to sleep since then and was fully awake by 1pm which was really good timing because they brought Yui to our room at that time.

Our first family portrait.

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Mom and baby.

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The proud and happy daddy (this photo was right after baby’s birth).

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I’m used to big babies in the Philippines and US. So at first I couldn’t believe what the doctors were saying – that I have a big baby even before delivery. Later in the nursery, the nurses also comment my baby is big. True enough, as I compare my baby’s statistics with the other babies in the nursery during the 10 days we stayed in the hospital, Yui is the biggest (heaviest) and longest (tallest) baby at birth during our ten days stay.

A labor of 36 grueling hours and then ending up with a cesarean operation is no big joke. But it’s all worth it. Just seeing Yui smile even in her sleep makes my heart both melt and soar to heights at the same time, if that is at all possible. Truly all worth it.

milestones

And today marks Yui’s first week! 🙂 She’s fast having a double chin already. I hope we could go home already so she won’t have to be fed with formula milk.
It’s amazing to note that comparing with the other babies during our hospital stint so far, Yui by far is the heaviest and longest at birth. No wonder doctors said my baby is big. It’s in comparison to Japanese babies wherein the average, as far as I’ve seen in the nursery, is 2.8kg (Yui was at 3.37kg).

Another milestone. My stitches, or more like staples, were removed this morning. Yay! I was kinda panicky about it since last night actually; apprehensive it would be painful. But when the doctor went about it, pulling your underarm hair with a puller is more painful than the removal of the stapler wires; removal was done in just a couple of minutes or so.

Ahhh. I can’t wait to be back home with Yui and Hubs!!!

Tojo Women’s hotel er hospital

I hope to find time next time to feature Tojo Women’s Hospital in detail. One thing though. Sometimes I forget I am in a hospital what with the food they’re serving and the shower amenities.

This is my dinner.

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Yep that’s just for me alone.
I’m already perfectly happy with the grilled pork and candied onion, the sautéed mushroom and the shellfish soup for viand. Yet they still threw in steamed snow crab.

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Now HOW AM I SUPPOSED TO LOOSE WEIGHT while staying here??! I ain’t complaining though. Especially with a dessert as GOOD as this yuzu sorbet.

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As it is though, I really hope we could go home soon so hubs can enjoy some time with Yui as well; hospital rules (as a general rule in japan) has his time with Yui limited. 🙁

Happy 2nd!

Exactly two years back on this day, we’ve submitted our papers to the Minami Ward office to register our marriage – making us (A&M) officially tied together in the eyes of the Japanese government. The Japanese civil marriage is almost like an anti-climax what with nary even a one-minute exchange of vows; just submission of the required papers albeit the papers were quite hard to procure. Hence Hubs promised he’ll give me a very memorable wedding to make up for it. True enough, come April 30, we did have a great and truly memorable wedding which was even featured in the May 2012 issue of Martha Stewart Wedding Philippines magazine much to my giggling delight.

Last year, our anniversary saw us frolicking around Vienna, Cesky Krumlov and Prague.

This year, our anniversary saw us giggling over our pretty newborn child, Yui.

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Thank you Lord for the blessings, for the love, the respect, the companionship, among others. Guide us, bless us, as we continue counting the years of our happy married life.

On jaundice and milestones

on jaundice / yellow skin
I wasn’t able to hold my baby in my arms yesterday. And for the whole day, I just contented myself with looking at her few pictures, wondering, worrying if she’s ok.

About mid morning yesterday, the hospital’s paediatrician dropped by my room and informed me Yui have yellow skin/jaundice and that her bilirubin is high. So they will subject her to photo treatment wherein she will be subjected to UV rays the whole day. I haven’t read about what jaundice on newborns mean so I asked the doctor if it’s detrimental to her health. He assured me it’s usually treated. But I lingered on the “usually”. He said he’ll tell me the results by the morrow.

I searched the Internet and the references I got were pretty worrisome. That if left unmitigated, it could lead to cerebral palsy or brain damage. Hubs and Okasan assured me however this is pretty normal. That hubs had it as well when he was a newborn and was himself subjected to the same UV rays (like father like daughter huh hehe). And the book I have here with me, Stoppard’s The New Baby Care Book, also affirms that physiological jaundice/yellow skin is pretty normal for newborns, is not a disease and usually occurs around the baby’s 3rd day of life, disappearing around the first week of life.

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(segue: for my hospital stint, I brought two books – Book 3 Part 2 of the Song of Ice and Fire series and this baby care book. During labor, I tried to distract myself with the fantasy series but addicted as I am with the book, it wasn’t enough to distract me from the pain. When I woke up after a long sleep after the operation, I saw the baby care book on my bedside table, placed by my husband for my easy access. I took the hint. 😀 )

The yellow colour is actually brought about by the presence of bilirubin, the yellow pigment part of the broken-down-primitive-red-blood cells.

Per some references I read however, if the bilirubin is quite high, even when it’s really just physiological jaundice, it is normal practice to treat it, one treatment of which is subjecting baby to UV rays (if in the hospital) or sunlight (if at home).

We saw her in the nursery in the evening and my heart constricted seeing her alone on a special case, eyes covered for protection against the UV.

The worrywart in me prevailed however and hence was only able to sleep for less than two hours. Come morning when one of my OB visited me, I asked about my baby who has been photo treated and if there has been any word. Like the others, he assured me as well that it’s nothing to worry about and that it’s usual phenomena specially for Asians.

True enough, come 11am, my baby was brought to me! Cleared and sunburned. For three days I’ve been trying to lie on my side but couldn’t do it because my stitch is still painful. Even 30min before Yui was laid beside me, I still can’t do it. But when my baby was already placed beside me, without even realising it, I was already lying on my side cooing to Yui. The things babies can make you do. 🙂

I sang her some songs which eventually made her drift to sleep. Curiously, she fell asleep around the time I was singing the song that Mama used to sing to my brothers to make them sleep and which i sang to my brothers as well when it was my turn to lull them to sleep. When I realised what I was doing, well, suffice it to say that there was watering somewhere in the face and a voice cracking.

Precious moments.

on milestones
Finally after four days, my shadow, the IV drip stand is finally gone! Hand is swollen though from all the different drip medicines I’ve been having. Yes that’s not a leg. That’s an arm in each photo.

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The IV was finally removed after having had cleared all the necessary tests for one who underwent a CS operation (email me for questions hehe). And with the IV drip shadow gone, I’m now allowed to breastfeed Yui. Alas, I’m not quite successful with it yet. Will try again at 9pm and at 12mn.

When we got back to my room, the dinner that awaited me took us all by surprise.

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The one with the roofed sea bream fish and sticky rice is a congratulatory for me for having had cleared all the milestones for my cesarian operation (pain, tests, medicine, food, and loo tests besides). Of course I ate with gusto. The fish is SO good! Hubs reminisced how after the operation I had to start from liquid food then semi liquid food then almost normal food and then a feast. Yey!

I’m one day ahead of sched. Supposedly I’d only be breastfeeding tomorrow. I wonder if they’d discharge me earlier than planned which is on the 26th yet. Let’s see.

hospital bag

All set! Finally after N years of procrastination, hospital bag is ready and set (still sans the fluffy slippers).

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Now for the looong wait before I go into labor. Truly so near yet so far.