Stiner’s water broke on Thursday (3/6) afternoon. Since contractions didn’t begin with any sort of regularity, we stumbled without sleep into the hospital at 7am on Friday morning to get induced. The triage nurse was quite amused with us, and our first nurse (Sonja) chose to work with us after hearing the laugher from our triage area.

They started a pitocin drip to begin the induction at 9am. From 11am to 3pm Stina, experienced increasingly painful contractions in her back, clearly indicated that the baby was in OP position.

When Sonja finally checked her cervix at 3pm (they limit the number of fingers in her VJJ if the bag has already ruptured), we discovered that she was only 2cm dilated. Patents are usually not admitted into the hospital unless they are at least 3cm dilated. Stina was already in pretty extreme discomfort, so by 4pm, I made the call to order the epidural, which we planning on doing eventually. The actual insertion of the epidural was rather traumatic (combine a fear of needles and a hatred of spine being touched), but the effects were amazing. They cranked up the pitocin, and from 4pm to 6pm she dilated to 4cm with no discomfort, verifying that we made an excellent decision. Occasionally, when Stina had a contraction, the baby’s heartbeat would significantly drop, creating a solid moment of panic along the way. Nothing really came of it, but nurses were closely monitoring the heartbeat all evening.
By 11pm she was fully dilated and the baby was in +2 position, meaning we were ready to push. The nurses told us that because the baby was to low in the pelvis, that pushing shouldn’t take so long. That unfortunately set some inaccurate expectations.
Our doctor is a rather unique individual. He has this incredibly dry sense of humor that is pervasive through everything he does. He constantly makes funny, sort of satirical, facial expressions. Its easy to understand why some patients would not get along with him. We really like him and find his personality amusing. He visited us in the labor room in the morning and early evening to check in. He was not on call that night, but to our utter amazement, he decided to help us deliver the baby anyways. He had a scheduled c-section on Friday night, so he checked in before he left at 10pm, and then nurses called him back in at 11pm. The nurses didn’t know what to make of him.
When he arrived, he gave Stina some coaching. He made what we all (nurse inclusive) thought were joking references to passing out on the labor room couch and that there would be snoring. Low and behold, five minutes later, he did exactly that.

So try to imagine the scene, where Stina is pushing with all her might, the nurses and I are voraciously encouraging her, and our doctor is snoring loudly on the couch. Crazy surreal. Of all the labor prep we had done, we hadn’t devoted any attention to pushing, and Stina wasn’t prepared for how physically challenging it would be. She was pushing with all her might, and the baby was only making very moderate progress through the birth canal. After an hour and half of pushing, the doctor woke up, and got involved.

He gave Stina another hour to push, and at that point we could see about a silver dollar’s worth of the baby’s head. He determined that her vagina wasn’t big enough to accommodate the baby’s giant head. After two and half hours of pushing, Stina was physically and mentally exhausted, and the doctor made the call to perform a vacuum assisted delivery.
The room suddenly filled up with doctors and nurses. I think that vacuum assisted delivery must be something of a rarity in the hospital. The doctor said we could do three attempts with the vacuum (anymore would be too stressful for the baby). His first attempt was a failure. I saw what looked like the bottom of a muffin being pulled from our baby’s head (the result of the suctioning). It was really freaky. I mentally knew he wasn’t hurting the baby, but I couldn’t understand how this wasn’t damaging the baby’s brain. The baby went into distress (heart dropped to 50 bpm, where the baseline is about 140 bpm). Stina was fitted with oxygen and the doctor performed an episiotomy. Things got really intense really quickly. Stina was both completely spent and totally panicked. I was attempting to video tape the birth, but I immediately dropped that task and got right in her face. We had that moment of connection that two people share during an extremely powerful moment. I experienced tunnel vision – the 6 other medical professionals weren’t in the same dimension as Stina and I. I consoled her, encouraged her, loved her, and pushed her as hard as she could go even though she was tapped. This was it. She gave a huge push, the doctor pulled with the vacuum, and the baby’s head came out. Now that was a CRAZY sight. Stina needed to do one more push, and though she had nothing left, she managed to give one last huge push and the baby came out.
I’m not sure if I can find the words for what swept over me. In moments like this, part of me is usually detached, observing the situation while experiencing it. Not this time. My entire self was simply overwhelmed with emotion. I found myself crying hysterically. I didn’t expect to. I’m still not sure if it was joy, shock, relief, pride, love, or some combination therein. Whatever it was, I still choke up thinking back to that moment, even though my son is right in front of me. Jasper Rudden Kirsch was born at 2:23 am in Berkeley, CA. 7 lbs, 1 oz, most of which is head. He’s long and skinny, and somewhat Asian looking. I’m really hoping this is from Stina’s side of the family. Otherwise, she’s got some explaining to do.

It was fairly gross experience, from a bloody, fluid-y perspective. Its a rather graphic experience. The word of the day was “gushing.” As a software engineer, this was a realm I’m not generally accustomed to. Stina still had to birth the placenta and get stitched back up. The doctor told me to follow the baby around for its APGAR testing, first bath, and whatnot. I numbly followed his directions, since I lost the ability to think for myself. We were eventually led to our hospital room around 5am, where we blankly looked at each other and our Son in utter disbelief.

I suspect that most deliveries that were this challenging (the baby was facing the wrong position, the umbilical cord was wrapped around his neck, and her vagina wasn’t big enough) end up in a c-section. After the birth, our doctor told us that he thought the on call doctor would have probably elected to perform a c-section, which was something that Stina had REALLY wanted to avoid doing. This is why he came in to assist in the delivery. I can’t tell you how amazing that is, and how grateful to him we are. He went far beyond the call of duty, and we are deeply indebted to him.
It’s been a blurry couple days in the hospital. The nurses were generally fantastic. Hospital staff were constantly coming into our room during all hours, and time lost all meaning. We had many friends stopping by to visit and bring food. We arrived home today to our relief / terror. We eagerly anticipate the arrival of Mama Rudden tomorrow. Someone needs to tell us what to do. It’s been amazing to watch Stina’s mothering instinct kick in. I was curious if it was going to happen. She’s such an atypical woman in many ways about things like that.

Let the games begin.