Regarding the high-risk status and change of course from being "done" at two babies to having more, see here. For a quick update: I got a second opinion from another doctor, I had surgery to remove a septum in my uterus that caused my first two to be transverse breech, I got pregnant again and really, really sought after a VBAC (vaginal birth after cesarian - in my case two cesarians).
We had hoped that the surgery last year would have allowed me to carry full term, but we still ended up with a preemie, and that's okay with me :) We just like to grow them small, I guess.
*Just a little side note - Dr. Cox did my surgery and followed me through most of this pregnancy, but the hospital in Pocatello would not allow me to attempt a VBAC with my two previous c-sections. I was very sad to transfer, but we had moved to Idaho Falls and I had quit my job at the women's clinic in Pocatello a few months prior, so there wasn't really a reason for me to stay there as a patient any more if there was no hope of the birth that I wanted. A big thank you to Dr. Cox for doing everything he could to help me achieve my dreams! And another big thank you to the midwives I worked with for encouraging and educating me about birth and options ;) I miss you all!! One last big thank you to Dr. Leavitt for taking me on and for allowing me the birth I literally dreamed of!
Okay, back to the smallness of my babies... Z - like Via - was diagnosed with IUGR (growth restriction), and we had planned to deliver her just a few days after she was actually born if she was still measuring small. However, since I had previous c-sections I could not be medically induced since it increases the risk of uterine rupture, so we would have gone straight to another c-section if I hadn't gone into labor on my own. But I did go into labor, and I got my VBAC since she was able to get head-down with the removal of the septum :) Here is her birth story:
Zelli Linette Christiansen
Friday, January 9, 2015 10:46 am
4 lbs, 2 oz and 17 3/4 in long
35 weeks and 5 days gestation
I was feeling pretty great on Thursday. I had my appointment with my doctor that afternoon, and I had correctly predicted what he was going to tell me there, which made me feel awesome! I had an ultrasound scheduled for the following Monday to measure growth and if she was still below the 10th percentile we would deliver. I guess I learned something at my job in the last two years ;) Via was born at barely 35 weeks (Lucas 32), so I figured I couldn't ask for much more since we had already passed the point of both previous births. And I know that even a few more days in utero decreases the length of the NICU stay, so I was feeling good! I went to our Relief Society (church) meeting that night and had some good food and good times with the ladies in our ward. I did start telling them that we would most likely be having baby on Monday or Tuesday, so I know a few of them were surprised when they saw pictures of baby on Facebook the next morning!
I started having mild contractions at about 11:30 Thursday night. They were about 10 min apart and, again, super mild since I was able to sleep through them until about 5 am. I woke up to slightly more intense contractions about 7 min apart. The consistency tipped me off, though, and I figured I had better tidy up the house before going to the hospital ;) Then something that I had never experienced with my other two happened: my water broke. It was about 6:30 by then and I figured, "Okay, we should probably head in." So Levi and I got the kids into some pajamas because they were naked, of course, and took them with us while my amazing grandma came down from St. Anthony (45 min drive) to come watch them during the labor. She picked them up from the hospital before I went into active labor :)
We got the initial admission stuff done, started an IV, I was contracting about every 4 minutes at that point and they were definitely uncomfortable - they became closer and more intense quickly after my water broke, but things were going smoothly and I was still laughing ;) The nurse checked me, and I was dilated to a 4. We settled in and she left me to labor on.
Things progressed like a textbook labor. They became closer together and more intense. About an hour after this first check I remember thinking, "Oh, boy, maybe I do want an epidural!" But I finally got out of the bed, tried walking around, swaying, rocking, and bouncing/sitting on a birthing ball. It was starting to get intense. I made my way to the bathroom with my IV pole at one point so I could throw up and figured I would have the nurse, DeeAnn - who was amazing! - check me again... 5. Well, progress at least! I did a little more bouncing and swaying before deciding to just get back in the bed and lay down. About 15 minutes (?) after she had checked me things kind of kicked into high gear. Contractions started coming about every minute or so but not lasting as long anymore. I was really surprised that I found it most comfortable to just lay in bed on my left side with a pillow between my knees. I wasn't very good at not tensing up, so I just breathed through each contraction with one hand over my eyes and my other hand gripping the edge of the bed. I remember Levi talking sometimes, but I couldn't answer him or respond, so he got quiet as well. I had probably 4 or 5 contractions where I started feeling "pushy;" the only way I was getting through them was to bear down a bit. Once I actually realized what I was doing - the body is amazing! I didn't even know what I was doing - I had Levi get DeeAnn. She checked me, and I was complete. I remember thinking, "I'm sure glad that was the transition phase because I was starting to want a c-section!" The contractions actually calmed down slightly after I was complete, and I breathed through a handful more while things were being set up and while we were waiting for Dr. Leavitt.
I changed positions, things were set up, Dr. Leavitt suited up and had Levi suit up as well to catch the baby. I pushed with 5ish contractions, maybe a few more, and I'm pretty sure I lost focus once I saw her head - I was just in awe! I got back on track and once her head was delivered Levi not so much "caught" as "pulled" the rest of her out. I don't remember this much, but Levi says that Leavitt just kept telling him "pull a bit harder" and Levi was sure he was going to break her! I was watching her and only her and don't actually remember seeing Levi deliver her - I was a little tired at that point ;)
Once she was out they put a blanket around her and put her right in my lap :) There was wiping and clamping I think, but I just remember watching her and listening to her cry. I barely even saw my other two before they were rushed to be assessed and then off to the NICU - I didn't even hold Lucas until the next day. Since Z was breathing I got to hold her for a few minutes before they took her to be assessed (Apgars of 8 and 9).
Zelli's birth was truly the most amazing experience of my life so far! Yes, I loved giving birth to Lucas and Via and was so happy when they were born, but Zelli's actual birth is the one I would want to experience again. It took me a while to bond with Lucas and Via. I didn't really see them at all before I was rolled up to their isolette a few hours later; it almost felt like they could have been someone else's and I know that sounds harsh and sad, but it really did take me a little while to connect myself to them. As soon as Zelli was placed in my lap, though, she was mine. I watched her come out of me and as I held her she was definitely a part of me. I also knew her name immediately; it took us 3 days to name both Lucas and Via. I absolutely love all three of my children equally, and this birth experience was simply quite different than the other two. Although Zelli is not more fulfilling as a child than Lucas and Via are, her birth certainly was. Her birth was empowering for me as a woman, a mother, and even as a person with a cardiac history (I had no cardiac issues at all and now know that my heart can handle unmedicated childbirth ;) I definitely don't mean to diminish a c-section birth - I obviously know how hard those are as well, and I'm sure others have quite difference experiences with their full-term babies - but for me personally, the difference between the births was like night and day, and I'm so, so thankful that I was able to experience birth in a whole new way! Welcome to the world, Zelli Linette Christiansen!