Still no baby.
After having pretty good and reasonably regular contractions last night, they put me on pitocin all night and the foley bulb fell out around 4am.
I woke up to not a lot – fewer contractions than I went to sleep with. I spent the morning sitting up, hoping to get some movement back, but only a few cramps appeared. I couldn’t walk because I was hooked to the pitocin IV and monitor. At around noon they took me off the pit and let me take a shower and take a break. The plan was to talk to the resident about the possibility of breaking (or needling) my sac, although seafoam was still very high which makes doing so somewhat dangerous because of the possibility of cord prolapse.
Before I took a shower, they decided to check my cervix. The check revealed I was at a 5.5-6cm and while she was checking me, my waters spontaneously ruptured. And it was a serious gush. So much that the midwife thinks I may have had polyhydramnios – an excess of fluid – which in any case likely kept seafoam from being able to effectively move down and against my cervix. It was exciting since water breaking can send a good signal to the body about labor.
After the check, I got a shower and they even let me go outside for a walk! It wad glorious! I came back in, napped and. . .
Contractions never came. Cramps never came. Nothing happened.
There’s a special kind of defeat you feel when you’ve been in the hospital for 4 going on 5 days and nothing has happened. Even if you’re 37 weeks 3 days pregnant and it’s totally reasonable that your body would not be prepared to go into labor even with excessive prodding from medical and mechanical intervention.
So what now?
They have decided to put me back on cytotec for the night. I just took one dose, and will take 3 more throughout the night. While I’m dialted to almost a 6 (or I WAS anyway) I am actually only 50% effaced. The thinking is that I am still in need of prostaglandins that cytotec will give me. Without the cervix being ripened, the pitocin can’t work. Hopefully, if my cervix gets ripened effectively, that plus the dilation will kick me into labor.
If nothing happens with the cytotec, then they will start pitocin again tomorrow morning. The goal will be, of course, that if the cytotec couldn’t get me all the way there, the pit will get me the rest of the way there.
And, if the cytotec and pitocin have not effectively gotten me into labor by tomorrow afternoon or evening. . . Then I will have a cesarean section.
And I’ll be sad, but I’ll also know Ive dime absolutely everything possible to birth my baby vaginally at 37 weeks with pre-eclampsia. And while the idea is disappointing to me, it also feels like the best possible circumstance for a c section to happen. And, we aren’t there yet anyway.
But there’s your update. Prayers accepted.