Pushing Baby Out
When my nurse (I know my nurses' and physicians' names but will keep them anonymous to protect their privacy) finished setting up all of the supplies and lighting and had my legs propped open, she taught me how to push. I was to wait for a contraction to come on. At the height of my contraction, I was to take a deep breath and then continually push while counting to 10 seconds. Then I was to push two more times (later on they told me I could do 4 pushes per contraction if I wanted to, which I did, to try to get the baby out faster) during the height of the contraction. Then I was to rest until my next contraction came on.
I was shivering violently, my teeth chattering loudly, completely drenched in sweat. I told my partner, "I feel the way I did at the peak of my symptoms from the covid vaccine." I recognized the same physical sensations then as when my body had mounted an immune response and was in agony after my covid vaccines. I felt chills all over, body aches, fatigue. When it was time to push, I was also sleepy and exhausted. I was fighting so hard to not fall asleep. I was so surprised by all of these feelings. In the past I had expected that there would be an adrenaline rush and I'd be wired and totally focused on this exciting and demanding task of pushing my baby out. When the time came, I didn't expect to feel like I did: very feverish, drowsy before I even began pushing, like the energy had already been sucked out of me.
They actually had the anesthesiologist come in and lower my epidural dose, because I needed to be able to feel my contractions so that I could know correctly when to push. Honestly, the contractions were pretty faint and I had to focus pretty intently to discern them, but I was able to feel the onset of the pressure. The beautiful magic and miracle of the epidural--I was able to feel the pressure but not pain (thank you because that pain had been EXCRUCIATING.) The worst part of labor and delivery was the many hours of pain at home and at the hospital prior to the epidural, along with all the painful procedures they did before the epidural was in. The epidural actually gave me the energy to push better. If I didn't get an epidural I think the pain would've been so severe that it would've depleted my capacity to handle the labor. The epidural also gave me the confidence and ease of mind that I could manage the second stage of labor. I had also consumed only clear liquids for the past 16.5 hrs before pushing began and vomited a lot of it out at that point, as well as slept only a few hours cumulatively, so I'm grateful for the epidural and not having to expend energy on trying to survive the pain.
My nurse placed a gloved finger on/in me down there to show me where I was supposed to concentrate my pushing, like which muscles I was supposed to push. At first she seemed a little discouraged, like I wasn't managing to get it correct, so I felt discouraged as well and questioned my capacity to do this thang. We kept practicing and trying and sometimes she'd respond positively that I'd done it right and sometimes it would be obvious to me that I hadn't gotten it right that time. I questioned my abilities and then started to picture the scenario of going and going for hours, not being able to push my baby out, and then having to get a C-section.
Later the attending OB physician came in and sat herself down parked right in front of my spread out legs. She stared at me, stared between my legs, and I felt very self-conscious. My nurse earlier had kept going back and forth between me and letting me push on my own while she charted on the computer, watched the monitor, entered orders on the computer, or tidied up. But the OB physician was fully focused and present on me. Sometimes other providers would come in and out of my room too. So I just felt their eyes burning onto my private areas, sprawled open on display for everyone to see under bright spotlights. I had to push my self-conscious thoughts out of the way and try to ignore them, tell myself I shouldn't be uncomfortable because they don't care what I look like down there.
The physician observed that part of the amniotic sac hadn't fully ruptured so she asked if she could complete the rupture and I said yes. So I think she then inserted the amnihook to fully rupture it.
My nurse told the OB physician that I had a fever of 102.4 degrees fahrenheit and she had just ordered IV antibiotics (ampicillin and gentamicin) for me. The OB seemed surprised and was like, "Whoa. Yes, definitely she should get antibiotics." They also gave me IV acetaminophen. They suspected I had chorioamnionitis. So that explained why I had felt intensely feverish.
The OB was also coaching me how to push. She also placed a gloved finger where I was supposed to push, and she told me, "Don't grimace. Relax your face. Redirect all of that energy and effort into pushing down here. BIG PUSH, as hard as you can!" That was actually so helpful to realize that my facial reaction of grimacing or clenching my hands was not helpful and that I needed use every ounce of that energy instead on pushing the right muscles to move the baby out. Sometimes the providers would respond enthusiastically and praise my pushes, like "That was great!" and sometimes they wouldn't. Which made me feel discouraged at first that I wasn't consistent, so maybe I didn't know how to do it correctly.
After a short amount of time, early on in the pushing, the OB then told me, "If you've been pushing for a while and we're not making enough progress and we're concerned about the baby's condition, there's a chance may need to use forceps or vacuum to assist the baby out, or other measures. We will try not to need these interventions, but I just want to let you know ahead of time so that it doesn't come as a surprise to you later in the event that we need to. Your baby has had a very high heart rate for a long time, and especially because of the fever and infection it's possible we may be concerned later on and need to speed up getting baby out." This made me feel worried. Like oh shit am I doing a terrible job of pushing? How come after all that pushing the baby's head is still inside me and hasn't emerged yet, maybe I'm really bad at pushing. And it planted the image in my mind of an even greater possibility that my baby could be hurt during this process. A sinking feeling of oh no, I'm not going to be able to get this done.
It felt somewhat defeating to keep pushing over and over and after all of that effort to think that the baby was barely moving anywhere still inside me. If all the pushing led to this lack of progress, how long is it going to take to get him all the way out? It seemed beyond my capabilities, like I just couldn't comprehend how I could get it done, and I somewhat lost hope.
Eventually the antibiotics and acetaminophen helped and I felt less feverish. I still felt very drowsy. I kept wondering how long this was going to go on for, like having no clue how long this would take and simultaneously feeling like I was barely making any progress. There were so many times I felt burnt out and physically exhausted, depleted of all energy. But what kept me going and not giving up was thinking, just do one more set of pushes. Like instead of thinking about still needing to get the entire baby out and the unknown number of hours of pushing I had ahead of me, I just mustered up the energy for one more set of pushes and then allowed myself to stop caring. And then I would do one more set of pushes and then just zone out and rest. I stopped trying so hard to control the outcome and let go of my expectations. It felt like it had been dragging on for so long, so I just took it one push at a time. At a certain point you're so tired that you don't have the energy to care.
Eventually the physician encouraged me by saying that they could see baby's hair. "Baby's head has a lot of dark hair, I can see it! Do you want to feel his hair?" I reached down and could feel a tuft of soft, slick hair on the top of my baby's head. The top fraction of his head was exposed out in the world. I felt so relieved that finally some noticeable progress had been made. But also worried that I had pushed for what felt like SO long and the top of his head was just barely out so how the F did I still have the rest of his head and body left to go.
At a certain point I heard them calling for the pediatric team to come to the room because they needed baby to immediately be seen by the pediatricians as soon as they were able. The OB physician made a phone call, "I need Gen Peds to come to L&D room 7 to be ready to see the baby as soon as this baby is delivered." Because I work in this hospital where day in and day out all I see are sick children, I actually didn't feel surprised in the least that my baby would need special care after being born. I just accept it as a very real possibility that can happen to any healthy mama.
Not too long after I felt baby's hair, the nurse and physician seemed very hyped repeatedly saying that I was doing great with every contraction. It seemed like the energy and momentum had changed a bit like they were seeing progress, but I had no idea because I couldn't see what was happening down at my birth canal. So I really had no concept of how much longer I'd have to keep pushing. There was now a whole large team of other providers in the room. OB resident physician, a team of pediatricians, another nurse, probably more people but they didn't really register in mind because I was focused only on pouring all of my energy into getting this baby out of me already. I had tunnel vision on just trying to get through one more contraction's worth of pushes at a time.
They never told me that I was close to finishing. I guess it's good practice not to get a mama's hopes up in case things go south afterward. So I had no idea that I was making significant progress getting the baby out, and then all of a sudden after a set of pushes, I saw them pull baby's body up towards me with umbilical cord still attached and placed him on my chest. Congrats, you did it! I was stunned because the time it took to get the rest of baby out after crowning felt much shorter in comparison to how long it took to push the baby from inside of me to crowning. I'm grateful they didn't really give me updates on my progress, so that I was in shock that it was over faster than I expected.
They told me that my baby was born at 4:48pm after 2 hours of pushing.
After the months of feeling him kick and roll and punch inside of me, I could finally meet him formally and see the baby who was physically connected to me. I couldn't believe my body grew this entire other human being with a heartbeat and brain and face and arms and legs.
I will never ever forget the beautiful moment that I saw C for the first time outside of me. It is one of the most special and favorite moments of my entire life. His face was scrunched in agony and his whole body was purple-pink-grey. He wasn't crying but his expression looked like he was on the verge of it. His hands were super wrinkly and he had scrawny, skinny limbs. His black hair was slick against his head. "He's so cute!" were the first words that came out of my mouth without thinking. I completely adored his face; he was perfect in my eyes, and I was in love with baby.
Even out of all the pictures I have of him on my camera roll, I keep scrolling back to the very first picture his father took of him one minute after he was born, so I can reminisce in my favorite moment of holding him for the first time. It is a deeply emotional memory of feeling so much overwhelming love for this tiny little helpless creature whom I wanted to cradle and protect.









