Professional Documents
Culture Documents
Smith 1
Smith 1
I got the phone call. Today is the day! Today is the first day to the rest of my life, it is
happening now, well for the second time, but right now! These are the thoughts that were racing
through my mind during the seconds I got off the phone with my OB/GYNs office. Forty-one
weeks pregnant, it was MY turn to begin an induction. There was no way I thought I would have
I had a complicated pregnancy with my son three years prior, which automatically put me
at high-risk with a high-risk of having a repeat C-section. When you are pregnant there are
so many decisions to make about your care, how you want your delivery to go and where to have
your baby. I chose the wonderful team at St. Joseph Mercy Hospital to assist me in this journey
My doctor works out of St. Joes, which has an amazing birthing center, which is
becoming increasingly popular (which it should be). In a birthing center you have access to
doctors and nurses, a private room, some even have hot tubs in them, you are given birthing
balls, you have a TV, movies, you can set the lighting how you prefer, and the best part each
room is designed so you can deliver your baby, and the baby never has to leave the room after
birth, assuming he or she is healthy, and if there is an emergency, the state of the art NICU is
In the weeks before delivery my doctor weighed the risks and benefits with me about all
section, this also was a critical detail as to which hospital I chose. Some hospitals require you to
Induction day! In case you are unfamiliar with what an induction is, it is when you go to
a hospital to have your labor medically started. This is usually done by physical means,
medication, or both. My induction began in the early afternoon, by physical means. The
Residents and nurses came into my private room to explain the procedure and check my vitals.
The doctor on staff placed a Foley bulb, which is a balloon catheter which sits between the
babys head and cervix to enhance dilation. To attempt to deliver a baby, one must be dilated to
10 centimeters. Within an hour of having the bulb placed I began to have contractions and was
beginning labor.
Over the next twelve hours, my labor was not progressing, I was still having contractions,
however there was no more dilation after the Foley catheter was removed. I was dilated to four
centimeters, almost half way. The incredible nursing staff made me comfortable, encouraged me
to eat and get some rest before the next phase of induction. The second phase of induction (in my
case) was by infusing medication called Pitocin into my IV. Pitocin is synthetic oxytocin.
Oxytocin is the natural hormone a womans body releases during delivery to increase rate and
effectiveness of contractions.
Before I continue, I had my son at St. Joes hospital three years prior. I was sent directly
from my doctors office to the Labor and Delivery unit because my blood pressure had
skyrocketed. When this happens during pregnancy, it is called Preeclampsia. This could be a
potentially fatal problem for the mother and baby. If your blood pressure gets too high the
mother could stroke and or have seizures, which could stop blood carrying oxygen to the unborn
baby. Once I arrived to the hospital they immediately started my induction with the same steps I
listed above, the Foley bulb, then Pitocin, after a few hours they broke my water, and I ended up
with a C-section due to my water being broken for too long, they didnt want to risk infection.
During my stay, the doctors and nurses were very nice, competent, I felt they did their job well. I
would have a nurse come check on me every twenty minutes or so to take vitals, check my IVs
and my overall wellbeing. I didnt feel the need for any medication until after they broke my
water. Once I got my epidural I felt I was just waiting for the baby to come out. No big deal.
When the decision had been made that I had needed a C-section, I agreed, signed what felt like a
hundred forms, they began to give me medication through my epidural site to prepare for
surgery. I was taken into an operating room, it was bright and cold. The medication and
hormones which were surging through my body were making me feel very sick, I was shaking
uncontrollably and felt like I had to vomit. I remember thinking, dont do it! They might mess
up! After surgery I was taken into ICU where I got to hold my baby for a few minutes before
they made me rest. Once I was in the mother baby unit I was able to see and hold my baby
more once the medication from surgery wore off a bit. I stayed in the hospital an additional three
So at this point, Ive been there, done that. I was dreading having a C-section for the
second time because of how sick I felt during and the few hours after surgery. The second
pregnancy was much different also, I only gained about twelve pounds, instead of nearly sixty, I
was much more active, and in general healthier. I was convinced I had done everything right this
time to avoid a C-section, even though I was given 60/40 odds against me. So the Foley bulb part
went fine, then, they started the Pitocin. I was on an IV drip for about fifteen minutes when the
nurse noticed the baby wasnt responding well to the medication. She called the doctor on staff
and immediately took me off the Pitocin drip. This was just enough Pitocin to jumpstart my
I was offered IV pain medications, however I did not want to be loopy when my baby
was born, so I denied this opportunity. I however was in so much pain, I felt as if I was being
exercised. In my birth plan I stated to not ask me if I wanted any pain medication, and that I
would ask. My nurse was very respectful of this. When I could no longer take the pain, I asked
for my options, which were; morphine was still in so much pain I had a feeling something was
wrong. After an hour or so, my water finally broke! This was a huge moment after being in so
much pain I really couldnt wait to get an epidural! Within minutes my nurse had gotten the
anesthesiologist to give me the epidural. Unfortunately, the epidural only had helped my pain
It was now shift change, the morning nurse introduced me to the night nurse, gave a
detailed report about the progress of my labor. I was dilated to six centimeters. Slow progress,
but progress. As the night nurse is looking over my report, I had mentioned to her that I was
starting to feel ill, like I had a fever. She took my temperature, and I did indeed have a fever. She
paged the on-call resident. They noticed I had no urine output for a few hours and decided to
catharize me, to see if I was producing any urine. I wasnt. I knew this was not good. Being a
pre-nursing student at the time, I knew that no urine means no kidney function. I didnt want to
say anything, because I didnt want my mom to worry more then she already was. The resident
and nurse were now monitoring me very closely, without making us feel stressed.
Within the next hour my heart rate spiked over 200, my blood pressure was increasing, I
was in agonizing pain, and the babys heart rate was dropping. I was in an emergency state. I
knew I would not be able to deliver my baby naturally at this point. Within seconds of my heart
rate spiking there were five or more nurses, two or three residents, the anthologist in my room
prepping me to go to the operating room. The doctor on staff came in, told us it was time and
they took me off to surgery. The C-section this time around was much easier to handle then the
first time around. They held my daughter on my chest while they finished surgery and she didnt
leave me until she had to go to the NICU for some medication, which was brief and her father
I chose a hospital I felt could handle all the what if scenarios of having a baby. I chose
the right hospital. They were properly staffed, highly trained, and had every resource they
needed to keep myself and my baby safe during and after delivery. My nurse didnt leave my
room one time in 12 hours, not even to use the restroom, and when my situation became
emergent there was enough staff to handle the situation so I didnt have to wait for surgery. If I
were to have gone to a hospital which was understaffed or under trained, the outcome could have
been devastating.