Sarah, the midwife started the pitocin at around noon at a two. Four is standard (and women sometime get cranked all the way up to 20), but she figured once my body got a "whiff" of the pitocin, it would just do it's thing. The first hour seemed to go pretty slow. I ate some chocolate pudding, because although instructed not too, this place is way more "medical" than my previous delivery experiences... And pudding is a liquid!?
Allie, the assisting nurse increased the pitocin to 4 and then around 1330, Sarah broke my water and I think I was still dilated at a 4. Sarah said to call her when I needed labor support because that's what midwives are for. She was over at the clinic across the street, but had a light patient load this afternoon, so she wasn't too concerned about getting back over here.
The contractions were getting stronger and then almost unbearable. I asked Ryan to call Sarah. Ryan really was a great coach, so I'm not sure that Sarah could have done much that Ryan wasn't already doing.
Allie came and measured me again and I was dilated to a 7 around 1430. I was not looking forward to the next 3 cm AT ALL. I was having a hard time relaxing and again unsure if I could do it without drugs. That should have been a sign of transition (as with Benjamin), but it seemed too soon. Allie said, "I think you've got less than an hour"... and within 10 minutes it was another "I have to push" from me and Allie said "Don't push"... and I pushed. And once again (as with Alexander) the baby crowned while I was standing up. I only made it onto the bed on all fours (not intending to give birth that way, but it was a fairly comfortable position). By then I had pushed out the baby's head and then I didn't have another contraction for about 2 minutes and it was making Ryan and Allie nervous just seeing the baby's head hanging out, but then the contraction came and I pushed him out. By then other nurses had arrived and Sarah showed up in time to deliver the placenta. She felt really bad to have missed the baby's birth.
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