I've decided to spare you the blow by blow of my induction and just give you the highlights. I was admitted on a Tuesday night and delivered Natalie on Thursday afternoon. That adds up to about 40 hours of labor. The following interventions were used: Vancomycin (antibiotic to prevent transmission of GBS), Cervadil gel (to ripen cervix), Cytotec (ripens cervix more quickly than Cervadil), Foley catheter (artificially dilates cervix), artificial rupture of membranes, Pitocin (speeds up contractions), epidural (takes the edge off), forceps (to pull the baby out since after I was dilated to 10cm, she still hadn't dropped sufficiently and wasn't tolerating contractions, threatening to qualify us for an emergency c-section--scary). It was certainly not the ideal labor and delivery experience, but the doctors, nurses, and residents at Columbia-Presbyterian could not have been better.
The good news is that Natalie is doing amazingly well despite her semi-traumatic journey into the world (her Apgar scores were 8 and 9 if that means anything to you), and I only required a few stitches after the torture me and my hoo-ha were put through. Our favorite cardiologist, Dr. G., happened to walk into the Labor & Delivery room in her street clothes just as Natalie was being born, so she got to meet her and check her out. We'll see her again this week for another echo, but we expect that everything will continue to look normal.
On the home front, we're starting to get the hang of things, which admittedly got off to a rocky start. Natalie hasn't been latching well, and I haven't been producing enough milk because of that, and I suspect also because of all the drugs I was given during my long labor. I had a home visit with an excellent lactation consultant (LC) last week who confirmed that Natalie's hysterical crying was due to the fact that she was hungry and had lost about 10% of her birth weight, that she wasn't sucking properly b/c of tongue positioning, and that I wasn't producing enough. She suggested that I pump and supplement with formula, so that's what we've been doing. Natalie's been back to her lovely pediatrician, Dr. L., a few times, who agreed with what the LC said and has been impressed with her progress in terms of weight gain, development, etc. The original LC said she'd do a complimentary follow-up to work with Natalie on her latch and I have another LC coming tomorrow evening to figure out what's going on with me. Luckily, she's also a physician and accepts my insurance so I only have to pay a $15 co-pay.
Needless to say, feeding has been a hugely emotional issue, which you'll understand if you've been following the breastfeeding debates. On top of that, I feel like I've been having some general PPD symptoms, complicated by complex feelings about Julian's birth and death. Long story short: I love my daughter, I miss my son, and I'm just trying to keep it together.
The good news, as you can see, is that none of this has seemed to faze Miss Natalie...
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