My first version of this story was awash with humor. It was very funny. Unfortunately, after I was done I found that the experience was still haunting me and that the funny version wasn’t helping to sort through what I was feeling. Here is the not-as-funny draft. Less enjoyable to read, perhaps, but necessary.
What an External Cephalic Version is supposed to be
I spoke to my doctors extensively before we scheduled the version last Friday. I also spoke to my doula and a few other folks and here’s what I was assured would happen:
We’d call the hospital that morning to make sure they had room for us. We’d go in and I’d get into a gown and get hooked up to an IV just in case. They would monitor the boy for about an hour to make sure he wasn’t showing signs of distress. Then the doctor would arrive, they’d give me something to relax my uterus, and the doctor would try to lift Speck gently out of my pelvis and push him around in either a front flip or a back flip. They would try it twice and either Speck would flip or not. No pain, just pressure. Then they would monitor Speck’s progress and either let us go home or take him out then and there.
There were possible side effects such as this inducing labor or a placental abruption or waters breaking. All are considered relatively unlikely and things should have been fine. The whole procedure should have taken all of two hours.
In fact, when we arrived at the hospital they had just finished a perfect version on a happy mom. The baby had flipped and mom and dad had been in the hospital for about two hours.
That’s how it should have gone.
Specifically, Our External Cephalic Version: or Typical Us
On Friday the 27th Andy and I were told to come in for our version at about 11am; so at 11am we arrive at the hospital to find that many other people suddenly decided to have babies. That was fair enough, so we waited in the lobby for an hour or so until a bed opened up.
After the bed opened, we were led back and I got into a very skimpy hospital gown. They hooked Speck up to the monitors and the very nice nurse, Casey, left us hanging out with the TV. Speck’s numbers were great. The kid has excellent heart rhythm and always generally impresses everyone with his spectacular movement.
After about an hour, Casey came in and checked the monitor and announced that we’d get going. The doctor came in with a resident and the doc was indeed a Most Excellent Doctor. Very straightforward and factually-minded, but he’d hold on to my foot while he talked to me and looked me right in the eye in the way that reassured me that he was actually listening to and talking to me, not just lecturing. He also remembered me personally calling a few weeks before with contractions when he had been on call. I really liked him a lot.
He took us through the breakdown again. Medicine, attempt to turn, try a second time, have c-section in an emergency, otherwise monitor baby and let us go. He’d just had a great version and he wanted to be two-for-two. As he was talking, Casey was trying to get an IV started in my wrist. It was obnoxious and painful, but I didn’t pay attention because MED was saying important things.
So Most Excellent Doctor left us with Newbie Resident. As Newbie Resident was going through the consent forms and my medical history, just for practice, I looked over at my throbbing left wrist and noticed that someone had apparently cut it open and inserted a sausage under it.
Ha ha, no not really. Casey had just poked back out of the vein and the saline was dripping right into my tissues. Luckily, I’ve had cats and have seen this kind of thing when they get a fluid pack under the skin, so I didn’t freak. I told the resident that there was something wrong with the IV, and while he spluttered and stared unbelieving at my sausage wrist I asked him to turn off the saline and get the nurse.
So it was time for a new IV. They called in a second nurse. There was an emergency so it took about 30 minutes for her to get to me. She gave me a numbing agent and tried again on the same wrist, different vein. She got the needle in and said “That’s going to blow up, I can tell” and sure enough just a couple of seconds after the IV got turned back on my wrist started to swell on the other side.
So they decided to call the IV nurse. The IV nurse was wonderful, but she had to come from elsewhere in the hospital, so it took her a good 40 minutes to mosey on over. But she got me hooked up in my right wrist. I was told sternly by the non-IV nurses to let them know that I’ve got difficult veins if I need to come back for anything. This is news to me. After plenty of surgeries and countless blood draws, you’d think I’d heard that I had difficult veins before, but whatever.
We sat for about another 15 minutes and Casey, MED and NR came back in. MED smiled at me kindly and talked to me about the medicine they use to relax the uterus. He was sweet and funny and friendly and as far as I could tell, totally off his nut. He said that they’d be giving me a med that was a cousin to Albuterol. Apparently Albuterol actually is considered a muscle relaxant. Which sounds just fucking cracked to me. It’s a relaxant? In spite of the fact that it makes you jittery and gives you a fantastic adrenaline rush? That kind of thing seems counterintuitive to me, but what the hell, I’m not the doctor. Whatever works, doc.
Then the nice people had me lie flat on my back, which is the most annoying position to a heavily pregnant woman. They injected me with the “relaxant” that immediately made me feel flushed and jittery and like either punching everyone or running far, far away.
The Most Excellent Doctor then reminded me to let him know if what he was doing hurt. Pressure was okay; pain was not.
Then, as far as I can tell, these perfectly lovely people tried to rip my baby out and beat me to death with him.
I lay there on the table shaking and juddering and MED put his hands into my pelvis through my skin and grabbed the baby’s butt. Then he had the resident dig into the skin under my diaphragm and actually reach around the baby’s head. I wish I could describe the kind of pain involved in lifting that kid out and moving him. Speck is laying on his right side (if I’m on my back) and is curved around so that his back is curving down my left side. MED and NR both gave a series of mighty heaves and tried to shove the boy down and to the right.
I started having trouble breathing right away and was shaking. After a second or two I started to moan and hold my breath. I didn’t want to be wimpy, right? Casey was being a rock and trying to remind me to relax and breathe, but every muscle in my body was wildly tense. I couldn’t unclench them all. It was the most unnatural and painful thing I’ve ever felt. The only comparison I have is when they put industrial solvent into my bladder for my IC. The pain was excruciating.
I got through the first attempt. The doctor was so hoping that he was effective, so they got the ultrasound on and checked, and Speck had moved a total of about two degrees forward. Apparently, he felt some guy’s hand on his ass and another guy grabbing his head and just hung on to my ribs for dear life.
MED patted me kindly and said that he didn’t think it would work, but he wanted to give me time to re-group before they tried again.
The second time he and NR dug in the pain was so over the top I didn’t know what to do. I wanted to give them a chance to get it to work, but then a second later the sound of MED’s voice telling me to let them know about real pain entered my head and I started imagining a placental abruption or a damaged cord and just started yelling for them to stop. They went a tad longer than I wish they had, but a few seconds after that they did stop.
Throughout all this, Andy was forced to sit off to the side in a chair. They don’t want dads freaking out and getting in the way, so they are relegated to the sidelines. I could hear him trying to reach me with his voice.
I lay on the bed after they let go and just sobbed and shook and shook and sobbed. I felt like the world’s biggest fucking wimp, but it hurt so much. A surprisingly large amount. I think I went into shock.
MED patted my leg and said that I had to come in on Wednesday so that we could schedule a section. He smiled kindly and tried to make it okay, and he really was a Most Excellent Doctor. I think he tried his best, but nobody expected it to hurt that much, and nobody expected the kid to be as settled in to sitting in my pelvis as he is.
We joke that we could almost hear the baby chortling to himself. Speck one; Doctors nil.
Shortly after they got me sitting up they put Speck back on the monitor. He was absolutely fine. As far as he could tell someone tried to shove him, but he won. He was just fine. I was bruised and exhausted. My gimp wrist hurt like hell, and after putting up with an awful lot of pain, we were going to have to section anyhow.
Then sweet Casey left and the nurses changed shifts. Andy and I were basically ignored for two hours until he went out and made a stink and they remembered we were there. We were finally released at 5pm and got to drive home through rush-hour traffic for an hour and a half.
I had my first meal of the day at 6:30pm. It was a Burrito Suizo with tons of sour cream, and it was excellent.
All in all, our painless two-hour visit turned into an excruciating six-hour nightmare of a day. Though in the end Speck is a healthy baby boy and I suppose that’s what matters. We will go in this Wednesday for a checkup and if he’s still head-up (which we expect he will be, stubborn little bugger) we’re going to schedule a c-section; hopefully for the 9th of September.
I had a fairly quiet weekend and I have one spot down and to the left of my belly and one up and to the right where I still feel very deeply bruised. Other than that, everyone has survived.
I keep waffling between being glad everyone is okay, hence the humorous version, and feeling deeply disturbed that my body handled it so badly. It wasn’t supposed to hurt; not like that. It was supposed to maybe be a little pinchy or ow-worthy, but not scream-inducing.
I’m actually feeling okay about the c-section because I don’t know if my body could handle pushing. In all honesty this whole experience was supposed to be warm and fuzzy and fulfilling, and I don’t know that my body just isn’t up for it. I have had surgery and at least I know I can survive that. What if I was to push and I were to push my bladder right out of remission? How would we survive? I don’t know.
At any rate, everyone is healthy. That’s a lot.
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