The Perfect Birth Experience - Alyss Lucy Johansen

Alyss Lucy Johansen

Holding Alyss for the first time

Daddy introducing Alyss to Jane

During the third trimester I've been really contemplating the idea to VBAC and started going to a clinic (Valley OB) in Provo to get ready to deliver at the Utah Valley Medical Center.
So, after a great second pregnancy the time has come to give birth to our baby daughter. My desire to VBAC was taken into account and when we went to the doctor for the 39w2d appointment, he decided to strip my membranes (ouch, that really hurt) to hopefully start labor early. He also suggested that we should be induced before 40 weeks to keep the baby small and hopefully easier to deliver vaginally. The induction was set for Friday, Feb 17th. I did get some more bloody show and some contractions but they were irregular and didn't really start labor.

We showed up at the hospital at 7am and sat around for a couple of hours before the doctor came and broke my water. I was having some contractions on my own before he broke my water but they were not strong or regular so I was given oxytocin to help with the contractions and the dilation. After I was given the oxytocin and my water was broken I started getting stronger and more painful contractions to the point where after about two hours I asked for some pain medicine. I was given a narcotic that took the edge off the pain and helped me get through contractions easier. However, even with the narcotic, after another hour I felt that I really needed the epidural, which was administered around 11am. It felt really good when the epidural started working and I could relax a bit and get some rest. At this point I was 6 cm dilated. Since I was pretty sleepy I tried to sleep a little but after about another 30 minutes the doctor came to check up on me and announced that I was dilated to 10 cm and it was time to take me off the epidural and have me start pushing. Both David and myself were really surprised that I progressed so quickly (it took 10 hours for me to get to 10 cm the first time). So, we started pushing (I was at stage 0 at that time) and immediately the baby's head started showing. After pushing for about 20 minutes and needing an episiotomy (thank goodness that I was numbed up and didn't need any other shots for that) Alyss Lucy Johansen was born and David got to cut her umbilical cord. The entire birth took 3 hours and 50 minutes!

Alyss weighted 7lb 10oz and was 19in long. After the nurses cleaned her up a little bit and put some drops in her eyes they brought her to me and put her on my chest. I was so happy that I was able to deliver her vaginally and that she was so beautiful, healthy and perfect. They took her away to get her really cleaned up and run other tests and I was left with the doctor to finish sewing up my incision. After I was moved to another room to recover Alyss was brought to me and I nursed her. Even though my belly was hurting and my episiotomy started to hurt as well whenever I held Alyss I felt better and forgot of all the pain. We stayed in the hospital for 2 days and went home on Sunday.

From start to end this pregnancy and birth were exactly as I always dreamed. I don't feel sad or unaccomplished when I think back at Jane's C-section birth but I'm very happy that I was able to experience a natural birth and was awake and alert when Alyss came into this world.
We love you very much little Alyss and are very happy and so excited that you joined our family.

Doctors and Stats

During the past few weeks both Jane and I had a few doctors appointments. For me mostly to check that the pregnancy and Alyss are progressing well. I'm happy to report that things are great with both of us. At this last appointment I was 37 weeks and 2 days along, blood pressure good, tested positive for B-strep but I kind of expected that since I was positive last time too, baby's heart rate was 140 and my bump measured 36.5cm. I'm happy that so far Alyss seems to be on track and hopefully a bit smaller than Jane. It gives me hope that the VBAC might be successful. ANd, speaking of VBAC, it's official. I transferred to the Valley OB clinic in Provo and will attempt VBAC at the Utah Valley Medical Center. The doctor I saw last time wasn't my favorite (the clinic has a few doctors and any of them could be at the hospital when I deliver - I kind of hope it's not this one). I asked questions and proposed several things and he pretty much turned me down on every single one of them. I asked for a walking epidural because I'd like to be able to move more during labor to hopefully help things along and he was like, there's no evidence that would work. Asked about stitches vs. staples and he said that staples it is cause it's better and it's probably my genes that don't help make the scar pretty. He also said that even though I'm dilated to almost 2cm and 60% effaced it's no guarantee that the baby will descend this time and we might want to know that before labor. He seemed to not be very hopeful even though he said that things look ok. The pelvic exam wasn't very pleasant and I bled a bit and had painful contractions afterwards but again, they said that this is normal at this stage. I'm not complaining but I kind of hoped that the doctor would be a bit more supportive of my attempt to have a VBAC. After all this is the main reason why I'm not having a C-section with Dr. Tayler who is an excellent doctor and very kind and friendly. I hope that at the hospital I will be encouraged and not rushed into any decisions unless necessary.
I had two other appointments: one with the optometrist, who said I have astigmatism and gave me what he called "an interesting glasses prescription" and one with a chiropractor who massaged my back, popped it and my neck and tried to put my pelvis into place. Apparently my pelvis is a bit misaligned and this is why I'm having so much pain. I'll have to go back cause I'm still hurting but I'm at least happy that he was able to check what's going on and work on me a little bit. Jane cried a lot while the doctor was working on me because she is very protective of me so the experience wasn't the best because I could tell that the doctor was flustered even though he tried hard not to show it.
Jane had a couple appointments herself. She went to the dentist for the first time and the doctor said that her teeth look great and that she will soon get one more incisive and four premolars. No sign of canines yet :). He advised me to brush her teeth at night and to not let her sleep with the bottle, which we've never done anyway. The other appointment she had was her 15 months well-child check-up. She screamed when the doctor touched her. For some reason she is really afraid of doctors. I'm pretty nervous about next week when she'll get her 15 months shots but we'll have to do it. Anyway, she is 32in long (92%) and 24lbs (75%). The doctor said that she looks great and is right on track.
So, now we're getting ready for Alyss to show up and before then I'll go to the chiropractor at least once more and also to the dentist. Thank goodness for MedicAid who pays for all this.
Here are a few more recent pictures.

37 Weeks

Cute Jane

34 Weeks Already?!?!?!

That's right. Believe it or not, I'm 34 weeks along. Only a few more weeks and Alyss will be here. Who knows, she might come a bit early. I wouldn't mind as long as she's healthy.

The last doctor's appointment went well, just like all the others. My blood pressure was good, urine good, measured 34cm and baby's heart rate was 148, also good. We've been discussing with the doctor what options do I have concerning the birth and after this last visit I really started thinking seriously if I want to try VBAC (vaginal birth after C-section) or a C-section again. We already have the C/S scheduled for the 15th of February (due date is the 20th) but I really felt recently that I'd like to try VBAC. The doctor isn't opposed to it but he said that he would need to refer me to a doctor in Provo or Salt Lake so that I could give birth at a big and well-equipped hospital, in case of an emergency and the necessity of a C/S. I've done some research and it seems that VBAC is totally possible and it can be successful but there is a chance for the baby to not get enough oxygen or for a uterine rupture. The main reason why I'm still considering the C/S is because with Jane I tried to deliver vaginally but, even though I dilated to 10cm she never descended and her heart rate was not very stable. I fear that it might happen again so I've decided to not get an epidural for as long as I can manage, and to walk around, not just lay in bed. I might even consider to get in the tub at some point. I remember that last time, even though the contractions hurt I felt better when I would stand and walk than when I stayed in bed and I got horrible back pain. I also hope that walking and standing will help the baby position herself and descend and also will help me dilate without the use of pitocin. They will not give me pitocin because it creates violent contractions, which could be dangerous for my previous incision. So, I feel good about trying VBAC and I really hope that I will be able to do it and not have to take tons of medications and endure the pain and recovery after a C/S. I want to be able to take care of my babies afterwards, with David working a lot and me being at home with both of them. We'll let the doctor know of the decission next week, at the next appointment, when I'll also ask him to check that Alyss is head down and getting ready to make her appearance into the world. I've been having Braxton Hicks contractions on and off and I feel pressure in my pelvis so I know that my body is getting ready for the big event. I also get occasional back pain and the aches in my pelvis, all the way around are pretty bad, especially after I go on walks but, just like last time, I plan on walking all the way until the last day. It makes me happy and I know it's good for me and the baby, plus Jane really enjoys our walks as well. Can't wait for Alyss to get here, to see her and hold her close. I'm nervous about what it's going to be like and how Jane will react but I'm also excited to have another little girl and the chance to be the Mommy of a newborn once more. I love being pregnant and I love babies and am happy that David is always by my side, supports me, comes to all the appointments and is just as excited about our baby girls as I am.