The Birth of William Joseph 8/6/23

Chelsea and Chris welcomed baby #3 on August 6. I had been hired by them twice before, so they felt as much like friends as clients to me. Chelsea was forthcoming at our prenatal visit about aspects of her second birth that she would prefer not to repeat. Granted it was during COVID which brought added challenges. Her first two babies also had meconium so that altered some of her postpartum experience with them and involved some separation from one as he received extra attention in the nursery.

While there’s no way to control whether there would be meconium, we were hopeful that this birth would be different since every birth truly is. Chelsea and Chris expected to welcome this baby around Chelsea’s due date since that was the pattern she had established with her first two. With that assumption, plus the hectic homelife raising two young children late in pregnancy, they didn’t do a whole lot of packing ahead of time. And the joke was on them! Because I got a call from Chelsea around 11:00 pm on August 5 telling me her water just broke. And her due date was still two weeks away! There was no meconium though which was a very good start!

Chelsea spoke with the doctor on call, and they decided it was best to mobilize and head to the hospital sooner rather than later. After all, her second labor was just two hours long after her water broke. They were on their way just before midnight with no notable contractions yet. Chris also noticed they only had 18 miles left on the gas tank! Oops! And just 15 minutes later Chelsea texted she had felt 3 contractions that were 6 minutes apart and getting stronger with each one. I gathered my things and was on my way soon after.

I joined them in their triage room and Chelsea was 3 cm dilated. Her 6 minutes apart contractions spaced out after sitting on the triage bed for the NST. I had a suspicion she would need to get put in her proper room before she could let go and labor. It took a while, but by 1:45 am she was shown to her LDR room.

We walked the hallways for 20 minutes and returned to the room where Chelsea did hip swirls on the ball. She expressed that she felt a lot of discomfort in her butt to which Chris said that meant this kid would be a pain in the ass! It got a chuckle. We talked through how fortuitous it was that Chris’ parents happened to be in town for a visit so they could leave the children in their care to go to the hospital.

By 2:35 am the contractions were steady at 4 minutes apart, lasting a minute or longer. Chelsea’s body was moving into active labor and requiring her focus. With Chelsea the signs are subtle. A furrowed brow, closed eyes were signs she was working harder. The contractions were more in the front which was a good sign baby’s position was fine.

And just 20 minutes later, by 2:55 we could hear Chelsea’s breathing as she stepped up her work. She leaned into Chris for support as he rubbed her back and gave a kiss after the contraction. She stood beside the bed and leaned into the CUB through some contractions and then labored on her hands and knees over it by 3:05. Chelsea did lunges and felt her baby moving down a short time later. We heard her breath quiver some as she exhaled at the peaks of the contractions, another subtle sign to us that Chelsea was progressing. Nausea hit her so she moved out of the bed to labor standing.

Judging from her efforts, it felt like a good time to recommend laboring in the shower. Chelsea considered renting a tub but since her second labor was so quick, she thought she’d skip it. This was right around when she told us she wished she had the tub. I reminded her that the shower was another good option for hydrotherapy. So she gave it a try. With votives and citrus fresh and lemon essential oil blends on a washcloth, the shower became a labor sanctuary that woke up her senses and maybe even helped her feel a little less tired.

The contractions were 2 minutes apart now, and Chelsea felt her baby ‘right in her butt,’ point with her hand to show us where. Her nurse began setting up the delivery table and Chelsea made her way out of the shower. We switched out cold cloths on her neck and Chris and I rubbed her back lightly. Chris kissed Chelsea on her shoulders as she labored their baby earthside.

At 4:18 am her doctor appeared and recommended a cervical exam. Chelsea was game for it and we learned she was dilated a surprising 6 cm, 80% effaced, with baby at -1. To be honest, we thought she would have been farther along. But the trajectory of labor cannot be contained in Friedman’s Curve, although so many try. Chelsea wandered to the bathroom and returned sounding different. It was 4:26 am and she dropped the f-bomb. She moaned with her contractions and requested no more counter pressure.

She lay upon her side in the bed at 4:40 am and told us she was feeling pushy with each contraction. Her doctor wanted to confirm whether it was “time” to push about 10 minutes later, but since Chelsea’s cervix was 7 cm, it was best to wait. Her baby was at 0 station, and she was effaced to 905, but Chelsea continued to feel a lot of pressure. She lingered on her side for another contraction or two and then returned to her hands and knees at 4:56. “I feel my energy coming back,” and so she resumed an upright position to get it done. Chris later said he knew his wife meant business once she said that. And he was not wrong.

I mentioned that doing lunges might help her baby’s head melt her cervix away and make the urge to push grow even more. She did not hesitate and did a lunge right then and there. It was 5:01 and she felt pushier. She did a lunge on the right with the next contraction and felt an even stronger pushing urge.

Her doctor had been lingering in the room since the previous exam, knowing Chelsea was progressing rapidly. The pushing sounds had her pulling the cart to the end of the bed and then dressing into her paper suit. Then the craziest thing happened, as Chelsea followed her body’s lead she pushed, and we heard a small gurgle. The sheet was covering Chelsea’s back side, so I lifted it up and saw her baby’s face! It was the only full-on pushing contraction and with the next push her baby was out! Their baby arrived at 5:08 am and Chelsea made the announcement that it was another boy! Chris was crying and expressing such love through his tears. Chelsea had gone from 7 cm to baby in 15 minutes.

We helped her get back down to her back upon the bed and the placenta was out in a few minutes, all while Chelsea had William Joseph in her arms from the beginning and for the entirety of that first hour. The placenta was born, and her doctor said those words that make every newly postpartum mom sing: no tears!

Chelsea drank some coconut water and ate some peanut butter for her first postpartum snack but there would soon be much better options in store. After that first hour, William had his first exam. He weighed 6 lb. 14 oz. and was 20 in. long. But he was back in his mother’s arms in no time.

Chelsea and Chris admit that this was the least prepared they had ever been for a birth. But it just goes to show they really didn’t need much. The birth was beautiful, and their children embraced their new brother without reservation. Eleanor is now a big sister twice over as a kindergartener, and Daniel quickly grew out of baby status at 21 months, to welcome his baby brother, in his words, “Baby Wheel.”

It was a joy to accompany this family in their surprisingly early birth. It tied so much together for them and for me as well. It doesn’t matter the dilation, and babies are going to come when they are ready. And this particular baby had something to say from the start!