I went in at 10:30, and Rianna was pretty uncomfortable. She is the mother of twin boys, 11years old, delivered by c-section, and a girl, 9 years old, delivered vaginally. She was planning to have a natural birth with this set of twins.
When she was checked soon after my arrival she was at 4 cm dilated, and 100% effaced. She was lying on her side, and pretty uncomfortable. I pressed on her back , which helped a little, but she complained of back pain. I got her to sit on the ball, on hands and knees, in the rocking chair, standing, swaying, circling, and within an hour, while on the toilet, she was starting to feel some pressure. She was 7cm, and stayed there for a couple of hours, now consistantly asking for pain medication. Things were incredibly intense, especially the pain in her back. The rocking chair and Nubain helped her to relax for a little while, but she decided she wanted an epidural.
The anasthesiologists were busy, and her epidural had not yet arrived by 3:00, when they wheeled her into the operating room to deliver her twin boys. She was at eight cm, and stretchy, opening quickly to 10 and complete. There were three doctors there, and at least four others, including nurses. When one of the doctors entered the room, she dimmed the lights and put on music. What a nice touch that was, softening the sterile environment. Rianna was determined and strong and had that first baby boy out in about 20 minutes, and the next 16 minutes later.
It was incredible to witness, and completely normal, safe and healthy. The babies were snuggling on their mama'a breasts when I left, while she and the doctor and nurse juggled them onto her nipples. Amazing work, nursing two at a time!
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