Transcript
WEBVTT
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Hello, today I have with me Jenna Hodge.
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Jenna is the mother of three.
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She is a coach that works with moms on all things motherhood, including self-care and care of the little ones, relationships, time management and physical and mental health.
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You can read her blog at PurposeIntendedcom and you can connect with her there.
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Jenna, welcome, thank you so much for joining me.
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Thank you for having me.
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I'm so excited to hear your birth story.
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I heard a little bit about it when we were talking earlier, but, oh, those details, I can't wait to hear them, so I'm going to let you go ahead and get started, okay.
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Well, I have three, so three very different births.
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The first one is what determined how my other two went, and not necessarily in a good way, but that's okay, it was a learning experience.
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So for my first, I was 41 weeks when I chose to get induced because I was done and I wanted him out of there.
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I was doing all the things and he was not coming.
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And my midwife asked you want to get induced?
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And I was like sure, absolutely, why would I not want him to come sooner, not knowing what that really meant.
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So my induction was with Potosin.
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I know there's different ways to get induced and all morning nothing really happened.
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As they gave me Potosin, like I wasn't really progressing.
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I was like this is it.
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I was kind of waiting for things to get intense or be painful and I was like I don't feel anything.
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So they kept upping it and upping it and upping it and then, like around lunchtime, my midwife came in.
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She was like well, you want me to break your water and then I can come check you in a few hours.
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And I was like sure, this is my first time.
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I don't know how any of this is going to go.
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I don't know any of this really means until a minute.
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Such a weird sensation, by the way, when you get your water broken and she's like I'll be back in a few hours to see how you're doing.
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So that's what I expected.
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Nothing's really going to happen in a few hours Probably like five minutes maybe go by not long at all and I start getting intense contractions so pretty quickly.
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In addition to my, potosin is already a pretty high dose at this point.
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So now I am getting real contractions on top of what Potosin is is like synthetic ones.
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So it was very painful.
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My goal was to not have an epidural, but I wasn't like super hard set in stone on it.
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I was just like, yeah, I'll see how far I can go.
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Why not at least try without it, and then if I need it, I'll get it.
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Needles don't really bother me.
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So I wasn't like super opposed to it.
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But I also was extremely ignorant and uneducated on a lot of this stuff and part of it.
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I chose to do that because I know myself and I feel like the more I know, the more I might freak myself out for no reason, and I knew birth can vary so much from person to person that in any core stories or things people tell me may not necessarily be true for me, so I wanted to experience it for myself.
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Now there's some things I wish I'd known ahead of time.
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So I was basically in constant pain, the way that you're supposed to get for contractions.
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I never got the subsiding part in between the waves.
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There was no break.
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So I went from like zero to 100 pretty quick.
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I didn't ease into labor.
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I didn't you know like start with the cramping and all that.
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It was just like boom, boom contraction on top of each other and I tried really hard to go as long as I could without it and I got to apply.
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I was like I can't, I'm not going to keep going because I know it's only going to get worse.
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So I asked for an epidural and I got one and I didn't expect to get like really bad shakes from it.
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That was a very weird feeling.
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I was chattering but I wasn't cold, but I couldn't control my body.
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At this point, obviously I've got the real labor starting and the uptose is really high.
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So I still feel stuff, but I'm not like super amount of pain, but I'm not feeling great either, like some people have epidurals and it's like bliss.
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That was not my case.
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I also didn't know that when you get epidural you have to have a catheter, and when I put that in I told the nurse that it burned.
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She's kind of pushed me aside and like, yeah, don't go away, it'll subside, just be patient.
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And so I'm like, okay, obviously this is my first time, I don't know anything, so I wait a little bit.
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And meanwhile all this stuff's going on like my body's feeling weird.
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I'm a lightweight when it comes to like any kind of medication or side effects of anything.
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So I've my body just was like what is this?
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So I feel everything this keeps hurting, but no one's really like listening to me about it.
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And then I also get into this state of I felt really drugged up, but not in a good way.
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I'm out of it.
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I could see people coming in and out, but it was like I didn't feel like they're fully.
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Yeah, it was just like a foggy feeling.
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You watch and everybody else do things around you and to you and your, but your brain's not able to process it fast enough.
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And then I remember when I got to like the pushing part I cause I couldn't feel what I needed to feel, but I could feel some other things.
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I couldn't breathe.
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I got to a point where I was like pushing but nothing was progressing and they needed oxygen.
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I feel like I couldn't catch my breath.
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It was very discouraging.
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I was coherent enough to tell that things weren't going the way they should as I was pushing, like I could tell on their faces.
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I could feel enough in my body like this doesn't feel right.
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I don't feel like he's coming out, but I'm doing all this work but nothing to show for essentially, and then I'm getting exhausted, I can't breathe.
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So that just goes on for a while and it was a total of 45 minutes, which I know for some people.
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For the first that's not that long.
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Some that may sound long, I don't know, but this is a whole day.
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So I got there like six, seven AM.
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He was born at six 30 PM, so 12 hour day of all this.
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And when he did finally come out, I feel like she always had to pull him out because I think my body was so exhausted at that point.
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He didn't cry immediately and he was blue and no one like said anything.
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But, like I said, I was still coherent enough to to sense something was wrong and in my head, but I wasn't freaking out.
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In my head I was like he's not crying and it was like slow motion, like my brain was trying to process but my emotions weren't catching up, because I feel like if I ever go to the worst case scenario, that I'm really going to fall apart.
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So I don't let my brain go there, I just kind of freeze and wait till something happens.
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So he's like he's not crying, he's not crying, they're looking weird, something's wrong.
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Okay, it was just like a.
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There was no emotion going on in my body, just my brain processing what's going on around me.
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While a flat on my back I mean flat I don't feel like that was good at all to really make any progress with the pushing part.
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That could have.
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That could have been done differently Now I'll come back on it Also with my breathing as well.
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Can't breathe when you're flat on your back in your nine months pregnant, duh.
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But he was fine.
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He did cry.
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Long story short, he was in the birth canal for a very long time, so his head was very cone shaped, but he was okay.
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And I remember they told me I tore pretty bad and I don't think I felt the actual tearing part because I had the epidural.
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But I felt the tugging of the stitches and I think she stitched me up at least 60, 70 plus and they stopped counting because it took so long and there were so many stitches.
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It was a third degree tear but it was pretty bad.
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I was there for a while laying there getting stitched up and then they make you get up and go pee before you can go to the recovery room and when I stood up, like walk to the bathroom, I was put down and I hadn't seen so much blood in one spot my entire life.
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Like blood doesn't bother me, but it just surprised me how much blood there was, like oh, wow, it's all coming out of me and it took forever for me to pee because of the cold catheter thing.
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I'm pushing for so long.
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Like I was so small and I've never felt like that before.
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I was very discouraged just sitting there.
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The nurse was so kind but I was like I'm sorry, I'm trying, I can't feel anything and I want to keep moving this process along.
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I want to be done with this, I want to heal.
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But she was so patient and so kind.
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I feel like any mom who's given birth never forgets their nurses, because I feel like they do a lot more for you than the actual doctor or midwives in my opinion.
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But she was very helpful and just the things that they do in a very vulnerable moment for you is really special, which I know.
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That's what you do, but that took forever for me to just pee and then I finally got back on the bed and in a wheelchair and everything and I was so swollen and so puffy and so out of it I couldn't do my legs.
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They felt like dead weight because of the epidural.
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And, long story short, a few days later, after we were home so I'm a few days postpartum I developed a very high fever and was laying on the bathroom floor shaking from the fever.
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It was so high and so we went to the ER and found out that that catheter had almost given me a kidney infection.
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I was on my way to getting a kidney infection because it was never treated.
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Catheters can give you UTIs.
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For those of you that don't know, I did not know that.
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Very painful.
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I also had torn.
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Some of my stitches had to get restitched.
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I couldn't sit for weeks, months.
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It was awful had the little donut pillow.
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Didn't even know till later on that.
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That actually makes it worse when you sit on those, because it just stretches and pulls them apart.
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It's really, really fun.
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Add in all the swelling and all that and the high fever and then I think oh, I also got my stylus pretty early on as well.
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This is all within a few weeks.
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So you know, another fever, aches, pains.
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I didn't really understand how to breastfeed, so latching and all that.
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I mean.
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Every time he would latch or cry some pain, tears would just start streaming.
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So I was that's kind of how the beginning of my first birth and all that went, which is what led me to my second two.
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I actually I normally don't interrupt, but I do have a couple of questions about that birth because I want to kind of try to clarify for moms that haven't gone through experience why some of those things might have happened.
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I'm only this is speculation, so I want to.
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That's why I want to ask questions.
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Because the first thing you did mention is that pitocin is synthetic.
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The one that we're giving you is a synthetic hormone and you were at a high dose.
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They broke your water, which will increase the what we call prostaglanins.
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That kind of have this feedback loop that put you into labor.
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So your body kicked into labor.
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But also the pitocin was causing labor.
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So sometimes and I'm not sure what the clinical thought process was at this point Sometimes, if you're contracting back to back, like you said, and feeling like you're not getting much relief from those contractions or you're not getting the time where your uterus can rest in between, which is ideally 60 seconds, we'll back off a little bit on the pitocin until we get into that good pattern.
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But also, at the same time you were saying you're getting your epidural.
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So I'm not I'm not going to try to speculate with the clinical reasoning was there, because there may have been something else that we don't know about, but that is what happens sometimes when your body starts to recognize the labor process.
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So sometimes the pitocin will have the synthetic contractions.
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Like you said, it's making your uterus contract, but it's not that real intense process.
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When your baby's head is coming down through your pelvis, partially because it's mechanical, when your water is still intact, your amniotic sac is still intact, your baby's kind of floating around, it's like a water balloon, right, you take the water out and then suddenly there's a lot of gravity working and it's going down through your cervix, down through those bones of your pelvis, and that is where the real intense feeling comes pressure and then those contractions.
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Your uterus is contracting around the baby instead of that soft fluid, and so then the contraction feels really intense and then your body recognizes that as labor and then those hormones.
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There's all this feedback and you're adding in the synthetic hormone as well.
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So that's that process.
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In case somebody didn't quite understand what that meant, then I'm curious about your epidural.
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Can you describe where you felt relief versus where you didn't feel relief?
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Was it higher up that you felt relief and then maybe down below you?
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did it.
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I don't part of that's like I wouldn't say blocked out, but it was so foggy for me it was weird.
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I still to this day every now.
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And then it's dissipated a lot in the last few years because of my son's six now but I do have like slight pain from where the needle was, but just like it's like a same spot every time, it'll go away.
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But yeah, I don't know if I remember, exactly Like the epidural itself.
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Like I said, needles don't bother me, I didn't really care.
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It wasn't that painful, I mean it hurt, but like.
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I didn't really have a problem with that, but at anything I tend to, especially the more I've learned and as years come by, I tend to go more natural way now for things anything that's not necessarily needed or is the most natural form of something I try to get away from, and the fact that in order to have that, you have the catheter as well, so it's pretty nice to get.
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And then, like I said, I'm pretty sensitive to anything foreign, so the typical side effects I usually get the shakes like those were pretty severe for me and obviously, like your legs, feel dead weight.
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That's a very feeling.
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Like I said, I could still feel stuff, the pain just lessened.
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I guess I did have my biggest.
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I guess like description I could call the contractions was like someone was electrocuting my back kind of what it felt like.
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Yeah, I had like shocks into my body.
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That's kind of what my first birth contractions kind of felt like.
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It was very.
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That's really interesting, where I have no scientific explanation for that.
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But, like you said, everybody has a different reaction.
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I agree, I am also sensitive and I have patients that are sensitive, like my blood pressure tanked both times and my baby's heart rate went down both times and I passed out both times after the epidural.
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If you're someone sensitive like that, you can have these reactions right.
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But and ideally we have ways to counteract those reactions.
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So that's why I'm curious about what happened to you.
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But I got nothing.
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At this point I don't know.
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I don't know what that was the shakes, that's normal.
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That can be either hormones.
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Were you 10 centimeters after you got your epidural or did it take some time?
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No, I was not 10 centimeters.
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Okay, so it took some time.
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So it can be a combination of hormones and maybe because you were kicked into active labor and then your fight or flight response kind of decreased a little bit once you got the epidural.
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And so then what will happen is you might get the shakes that's what anesthesia likes to say, because they don't want to be blamed for the shakes.
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There's another reason for the shakes that has that does have to do with the epidural, Also not anesthesia's fault.
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I know everybody likes to blame anesthesia.
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So another thing that can happen is your blood vessels will dilate in your extremities.
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When you get the epidural they kind of relax and that's why your blood pressure can drop.
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So I'm not sure if your blood pressure actually dropped, but when you're dilated in those extremities you're not as warm as you were before.
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So, like when you're hot, your blood vessels dilate in order to release heat, right.
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So that's what your extremities are doing.
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And then what you may experience is not a feeling of cold, because you can't feel your extremities anymore and your core is warm because that's not where your blood vessels are dilating, but your body will shiver.
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Your body knows that there's cold somewhere and we'll start to shake.
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So those are the reasons that I mean, they're not reasons we can necessarily control, because women will start having the shakes and labor and we just say you know what, Just let it flow, because if you fight it you're gonna be sore tomorrow.
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And then I try to cover the legs with warm blankets and the arms and stuff, even if you're not feeling cold.
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And then I don't wanna cover the core because that's where you're feeling hot and you wanna release your heat.
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So it's just this interesting paradox that your body is kind of experiencing.
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And then the other thing I wanted to talk about is the pain relief is do you remember what spot in your back like how high up that pinpoint is that you feel from where your epidural was?
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It was like Mid-back, I wonder if so, I had an epidural and I had two different epidural experiences and I'm grateful for both.
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It is a process where your catheter goes in and they go in blind, so it's not scientific.
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You know, we're not using an ultrasound to control it and even if we did, we can't control it because it's a floppy, it's almost like a fishing line.
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And so then with my first, like you said, I could feel a lot, but I was okay with that because I wanted to just take the edge off so I could push the second one, and I did feel the pulling of the stitches.
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That was weird.
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Yeah, it was like dental floss down there.
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It was so weird.
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Yes, the second one, it was a little bit high, which no complaints.
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It was an excellent epidural.
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I couldn't feel a thing.
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But then when they laid me down, I was like my bones are getting numb.
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Can we sit up a little bit?
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Because I know that sometimes if the medication migrates up which it can in any circumstance because it's not going to a specific spot in your spine, but if it migrates up enough, it can affect your diaphragm and then you don't feel your diaphragm, you feel like you can't breathe.
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It's a feeling that sometimes happens when you get a spinal and that's not.
00:16:23.903 --> 00:16:28.490
It's not the same spot that you get your spinal, but it can migrate up with your epidural if it's a little bit higher.
00:16:28.490 --> 00:16:32.250
And I have back abnormalities, so that it makes sense that that happened to me.
00:16:32.250 --> 00:16:42.001
But these are all there's all these potential, because we are doing something that is not in an exact spot that we can confirm that happens with the epidural.
00:16:42.022 --> 00:16:52.696
So I'm wondering if maybe when you felt like you couldn't breathe it was just a little bit higher up in your spine, for whatever reason, they're looking for the spot that looks like it's got the least resistance, so that could have been it.
00:16:52.696 --> 00:17:05.137
And then in doing that, maybe it wasn't low enough to get to where your catheter was, and why you've got a catheter urinary tract infection that I don't know, because it doesn't sound like it was in long enough for that to happen.
00:17:05.137 --> 00:17:07.968
So that sucks, but it is.
00:17:07.968 --> 00:17:08.730
It's a risk, but that sucks for you.
00:17:08.730 --> 00:17:11.499
Anyway, did you have anything to add to that?
00:17:11.499 --> 00:17:16.710
Those are just all my thoughts on like why that might happen, so that moms are not like oh, my God, this is so scary.
00:17:16.750 --> 00:17:17.959
That's just was my experience.
00:17:17.959 --> 00:17:18.987
I wouldn't scare anyone.
00:17:18.987 --> 00:17:23.684
Just something to be mindful of is things don't feel right or whatever.
00:17:23.684 --> 00:17:24.970
Don't feel pressured to do anything you don't want to do.
00:17:24.970 --> 00:17:26.930
Oh, absolutely, or when we're speak up.
00:17:28.175 --> 00:17:32.979
Yes, absolutely, and I'm sorry that you had that experience where you felt like they're kind of brushing you aside.
00:17:32.979 --> 00:17:35.609
I wish that anesthesia kind of calmed back in and helped troubleshoot that for you.
00:17:35.609 --> 00:17:46.150
If you don't have anything to add to my nurse explanation, I'd love to hear your next birth story and how your first story shaped your next experience.
00:17:47.292 --> 00:17:48.035
I did so.
00:17:48.035 --> 00:17:55.433
After that I was like never again will I get an epidural, because I don't want to even have the possibility of anything like that happening Ever again.
00:17:55.433 --> 00:17:56.979
I'm going to do this, all natural.
00:17:56.979 --> 00:18:00.130
I know it might suck, but I'll get through it.
00:18:00.411 --> 00:18:08.170
So I passed my due date once again with my second son, Like come on, Like no signs of labor Actually, okay, I'll take that back.
00:18:08.170 --> 00:18:13.622
I went to the hospital three times before he was born, thinking it was labor.
00:18:13.622 --> 00:18:19.803
He was a September baby, so I think at least one, if not a couple, of those were dehydration induced contractions.
00:18:19.803 --> 00:18:20.790
It was very hot.
00:18:20.790 --> 00:18:27.163
I was drinking lots of water, but still something to be mindful of is you have a summer, early fall baby to stay hydrated in the summer.
00:18:27.163 --> 00:18:29.458
So we went to the hospital a couple of times again.
00:18:29.458 --> 00:18:29.999
This may be it.
00:18:29.999 --> 00:18:36.130
This may be it, which would be polar opposite of our first being 41 weeks induced, and these would be like 30 something weeks, like early on their own.
00:18:36.130 --> 00:18:43.163
I actually one of those times really thought it was it and it was early, and we didn't find out the gender of any of our babies.
00:18:43.163 --> 00:18:44.653
They're all boys though.
00:18:44.653 --> 00:18:48.883
So they gave me the I think it's a steroid right.