The Birth of Amalia "Ama" Mae 6/6/23

Katie and Stu welcomed their first child, a girl, on June 6! Katie knew an induction would be her likely road to motherhood since she herself had high blood pressure. But she had a strong desire to give birth without pain medications. Friends’ induction stories can be daunting, but it doesn’t have to be a scary proposition. Katie and Stu attended both my Spinning Babies® Parent Class and 7-week Birth Essentials Class Series to prepare as thoroughly as possible. They also chose providers who had a reputation for supporting unmedicated births and had great statistics, and most importantly of all, had midwives on the obgyn team.

Katie’s body was gearing up in the final weeks with contractions that would come and go. She didn’t get in her head too much about her readiness, but instead continued with her days knowing she would meet her baby girl soon. She thought perhaps her water broke but went in to get checked and it hadn’t. But when some lab results were a bit concerning, her midwife recommended she be induced. It wasn’t what Katie wanted, but she also knew she wasn’t comfortable treading a fine line between potential risks to baby either. The timing of the induction was fortuitous though because her body dilated from nothing to 4 cm in the final days prior, putting her in a much more favorable position for the induction to work well.

Katie and Stu got comfortable at the hospital, settling into the room, and officially admitting Katie as a patient. Since her cervix was already so ready, the induction began with Pitocin overnight. Even though it was increased every 30 minutes, Katie managed to sleep quite well that night until around 7:00 am when hospital staff shift change heralds the new day for everyone.

Katie got set up with the wireless monitor right away because she knew she wanted freedom of movement and hydrotherapy. She did a lot of walking that day, becoming somewhat of a fixture on the unit making the rounds, so to speak. By 1:00 pm she was dilated 5-6 cm, 60% effaced, but her baby was still high at -3 station. And she was still very comfortable. Her contractions were not very strong.

We went for a walk at 1:45 pm and Katie maintained such a brisk pace it was hard to keep up with her. And she returned to the room to squat on the bed around 2:24 pm. The Pitocin was at the max level of 20 mu, but her body was still just slightly crampy. It was time to incorporate a big Spinning Babies® move, the flying cowgirl. Katie lay in that position on her left and then her right and soon felt more pressure low in the front of her abdomen. A heating pad helped relieve some hip pain she was feeling as well.

Katie maintained her composure as things began to change and alerted us when she noticed something, i.e. discharge. We went walking again from 3:20-3:40 pm and when we returned to the room it felt like the right time to labor in the shower. Some lavender on the washcloth really helped Katie to relax and tune in to her body. She was so tuned in that she forgot to take off her glasses before getting in the shower. And THIS was the first real sign that she was moving into active labor!

She changed into her contacts and continued to labor under the hot water, leaning against the wall of the shower to tune out the rest of the space. She requested Stu turn on music, and beautifully inspiring Christian songs filled the room with encouragement. It was just before 4:00 pm and Katie felt like her pain was growing. “It is Well with My Soul” played more than once and soon after “Your Labor is Not in Vain” came on, a perfect song for labor.

I updated Katie’s nurse of the subtle changes along the way. So, when Katie began to sigh under her breath through the peaks it was definitely notable. Stu was her constant companion, always right there to give a kiss between contractions, rub her back, apply counter pressure, offer a sip of water, and even play music. I just love watching how connected couples are in labor. It is a beautiful preview of how united they may be as parents.

Katie got out of the shower at 4:20 and felt a lot more discomfort in her lower back. She asked Stu to press on her back, but she felt like she needed something different. So we set up the CUB chair on the bed so she could labor on her hands and knees. Katie felt a lot of pressure in her back and hips, so Stu and I worked together pushing on each hip simultaneously.

Katie’s contractions were 3 minutes apart and much stronger than just a short time earlier. So, when the midwife stopped by to see how she was doing she was curious to know her progress. Katie was dilated 7 cm, 90% effaced, and her baby was low at 0 station! And during contractions Katie’s cervix opened to 8 cm. She had made BIG changes in a very short time! Her midwife looked her in the face and asked if she wanted to have her water broken and Katie said after pondering a few seconds, “Let’s do it.” That was her attitude the whole time, really! So, they did!

Katie returned to her hands and knees after her water was broken around 4:45 pm and by 5:00 she was making some pushy sounds at the peaks of her contractions. They grew as she continued to breathe through them and at some point, she moved off of her hands and knees back down upon the bed.

Her midwife remained as the room began to quietly fill with some additional people. By 5:17 the birth team was assembled, and everyone was waiting for one more person to arrive. “I can’t believe she isn’t out!” Katie exclaimed, to which we reassured her it would not be long at all. We supported her legs, so she didn’t have to hold them up, and her baby crowned gently. In fact, she was born just 13 minutes after Katie said she couldn’t believe she wasn’t out.

Amalia (pronounced Ama-lee-ya) was born at 5:30 pm to the joy of her parents. After an hour on her mom’s chest, we learned her stats. She weighed 7 lb. 14 oz. and measured 20.75 in. long. In the first moments she had her first poop and pee on mom, helping out her nursery nurse by checking those boxes right away.

In the afterglow of the birth, once the placenta was out and baby was on the breast, we realized the total sum of Katie’s active labor was just 2.5 hours, with 20 minutes of that spent pushing. Katie held her baby with confidence looking down at her and holding her as though this was not her first time. She and Stu were in love with their daughter from the start and I watched their connection as a couple grow into connected parents doting over all of their daughter’s perfect parts and mannerisms.

I was proud of the way Katie navigated this induction, keeping in mind that she had choices. It didn’t hurt that her nurses were excellently supportive, and her providers were on board with offering as many options (within the construct of a Pitocin induction) as they could. An induction can still be a journey of wonder and awe, and self-discovery. It can show your strength you’re your connection to your partner and your baby too. Every single birth provides this opportunity! It's one of the things I love most about what I do.