To tell the story of Josiah's birth, I have to go back in time before I can go forward.
In August of 2008 (last year), I suffered an ectopic pregnancy that ruptured into my abdominal cavity. A miscarriage. The thing was, I didn't even know I was pregnant. (The pregnancy had progressed about eight weeks). I had been attending my best friend's wedding, and the day after began to struggle with annoying but not overly painful abdominal pain. I honestly thought that I had pulled a muscle, as I had been lifting flats of sodas (about fifteen pounds worth) in heels no less, the day of the wedding. As the weekend progressed, I began to feel worse. We were in Virginia Beach, away from home, away from my obstetrician (of course, at the time, I didn't realize it was him that I would need). We cut our visit to Grandma short and returned home. I had this overwhelming desire to get home- still not at all suspecting that I was dealing with a pregnancy. It fascinates me how the hormones created by our body will direct things even when we were unaware- it truly felt like this primal need to get home. The pain had gotten much worse- in fact, in a Charlottesville rest area, James and I were strongly debating whether to stop at the next emergency room. I honestly think that is when the pregnancy actually ruptured. The pain was overwhelming, but like all things, I was able to slowly work through it. (And yes, people have noted I have a strong tolerance to pain). I convinced James to keep driving.
I still thought that I had only pulled a muscle. Painful and annoying. I consider this God's grace- my ignorance probably kept me from freaking out- He truly directed every path to the conclusion, as all the people involved (even my OB/GYN) will tell you. The next day, I visited my family practitioner, complaining all the while of abdominal pain. I had been bleeding, but since it was the middle of the month when I normally would have a period, I thought none of it. The two simply did not connect in my mind. My doctor, on the other hand, quickly connected the two, and I was sent for blood tests and the whole work up. (I was still blissfully unawares.) As I returned to the exam room, I sat for over forty five minutes, which was very unusual for my doctor. And when she came in the room, finally, I knew something was wrong. She tried to speak a few times, and then said, quickly, rushing over the words: "Joy, you are pregnant. And you are bleeding, and you have abdominal pain. I am sending you over to the hospital STAT for an ultrasound, because I think you may have an ectopic pregnancy. You need to prepare yourself for the fact that you will lose this baby, if it is not lost already."
The next hours that followed were a blur- the ultrasound confirmed their suspicions, but strangely, they could not get a good image- they began to think that I may be pregnant within the uterus but also have some sort of bleeding on my ovaries ( I forget what it is called.) The decision was made to observe, and watch the chemical hCg levels within my blood- if they doubled, they knew that I was in fact pregnant within the uterus. I was dealing with a doctors group associated with the hospital, not my own, and I was so very confused. But I just kept breathing- I trust Dr. H very implicitly, and I knew that as long as I got to him, I would be well cared for...James kept calling until he finally got a hold of Dr. H. (He had been off that weekend, on a much deserved vacation!) By Monday, I was in his office, and he grew increasingly confused by what had occurred and what was written in my chart- test results weren't recorded- it took till Tuesday to get this all figured out and all the tests and ultrasounds in their proper place. Keep in mind it has now been over a week since the pain and bleeding began. Through out it all, my vital signs were absolutely normal, particularly my blood pressure. (Very unusual in the case of abdominal bleeding.) If you know anything about ectopic pregnancies and ruptures, the chance of death is incredibly high. I had everyone fooled, as Dr. H would gently tease later. (You have no idea how much my case scared him after the fact.)
On Wednesday, they decided to perform same-day, outpatient surgery laproscopically to get a look at just what, exactly, was going on. Dr. H, of course, warned me of the risks involved, explained that he may have to open me up at the bikini line if something was particularly bad- he just didn't know. All the while, I was okay, calm even. I just wanted the baby to be okay, and knew that I needed to be still. To this day, I don't think anyone realized just how bad the situation had become. From what I have been told, when Dr. H entered my abdominal space he realized just what was going on (and apparently the way the blood had pooled was blocking the ultrasound from getting proper images). Not only had the pregnancy ruptured out of my fallopian tube, it had been bleeding. And as Dr. H explained, it should have been bleeding profusely- everything should have been off the charts wrong- my vitals should have been bad, everything. Apparently, it was pushed against my liver in such a way that the liver held pressure to it and did not allow it to bleed as it should, for as soon as Dr. H began to move the fallopian tube away I began to bleed profusely, and, as you can imagine, what was supposed to be same day outpatient surgery turned into full scale surgery to save my life.
When I woke up in recovery, Dr. H was by my side. I have known him for years- he had delivered all three of my younger children and we had a great rapport. The look on his face is something I will never forget, even in my anesthesia induced haze. I just knew. I began to cry. He grabbed my hand, and he said: "Sweetie, I am so sorry. But you need to know this- you need to know- (and here he paused for the longest time)- you should have died. Your life is a miracle. There is no reason for you to be alive right now. Truly, Someone was watching out for you this day." He was choked up, and I had never ever seen him like that, ever. I should mention that it took weeks for me to truly understand what had happened with the surgery- I was more absorbed with the grief of losing the child to really understand just how close to death I was. At one of my final post-surgery appointments, Dr. H informed me that, while I still had one fallopian tube and ovary, the chances of me being able to get pregnant were extremely low. We had discussed birth control options, up to having the other tube 'tied', but I just could not, in my emotional state, deal with the decision. He warned us that if I did get pregnant, the chances of another ectopic were extremely high, and any pregnancy from that point on could be potentially fraught with complications.
We decided to leave it in God's hands. The grief was overwhelming to me, particularly when it came to being intimate, because it was a reminder of what would not be. I cried, and cried, and James held me, as we tried to make sense of it all. Needless to say, I was shocked to discover I was pregnant in late November. (Two and a half months after the miscarriage.) I was terrified. There was a part of me that was rejoicing, don't get me wrong. But the other ninety percent was just scared wordless. I remember just repeating the Kyrie Ellison over and over. "Lord have mercy. Christ have mercy. Lord have mercy. " I couldn't even form the words to pray for the baby, or myself. I was too scared.
So was Dr. H. The day I had the appointment, they did an immediate ultrasound, in office. I remember Dr. H, and A, the nurse, and myself, staring at the screen. (By some cruel twist, James couldn't be there- we couldn't get a babysitter for some reason, and there was no way I was going to have all four of my kids in that exam room.) The tension in the room was palpable. I didn't realize I was holding my breath as he guided the ultrasound wand. There was the ovary, all normal. And then, there was the miracle. Baby was kicking and moving and flipping, right where he belonged, heart thumping mightily. And we all suddenly let out our collective breath, A. began to laugh softly, and the tears began to roll down my cheeks. Dr. H first words were, "I wish James could be here" and then "you guys defy all odds, don't you?" and then "oh thank goodness, everything is right where it belongs- see, the hand buds, the feet- the eyes, the heart?" I had this smile on my face as wide as could be...I just couldn't stop.
The rest of Josiah's pregnancy was so ridiculously normal, Dr. H and I laugh about it. I have always been somewhat high-risk- often tipping into high blood pressure issues towards the end and other things that have left me on bedrest for both Lorelei's and David's final month in utero. My blood pressure never once faltered. It was so normal that the nurses took to checking it twice (they all knew how I had been with other pregnancies) to make sure it was normal. I don't labor well. My body starts the process, but it has never once been able to finish the process unassisted. As with all my kids, I began to have contractions and they would not coalesce into an effective rhythm. With Josiah, I was basically laboring, to an extent, for a week and a half. The contractions would come together and get quite intense, but then would spread back out- every other day I was put on monitoring and a non-stress test performed to ensure that Josiah was doing all right.
On Wednesday (July 26th), they decided to induce. I was started on Pitocin at 9:10 am, my bag of waters was broken about 11:45, and he arrived at 2:34 p.m.
Our little miracle baby had a few surprises up his sleeve however. (And keep in mind that this is number five, too!) Things were moving slowly and steadily (too slow in my opinion- I was so ready to be done and hold him in my arms!) I finally got to 7 cm. I remember my labor nurse checking me (and there is another story I'll get to in a minute) and getting so upset! I said "no! I can't be just 7 cm! This hurts too much!" and then all of the sudden, something changed. I felt it. I tried to tell them. Ha! She leaned down to check again maybe a minute later and said to the nurses assistant with some surprise that I was now 9 cm. And then her face changed (so I'm told- I was in the throes of labor! *laughs*) She goes "this baby is going to deliver!" and he did. Just like that. I didn't push, I can't even explain what happened, just that my uterus took over and bam, there was his head, and another hard contraction and there was the rest of him. My labor nurse, Myra, delivered him! Dr. H wasn't even in the room! He walked in about 30 seconds later and everyone burst out laughing. There wasn't even a warming bed in the room for Josiah, no crash cart, nothing was ready. They thought they had another fifteen minutes! He was delivered on the bed, right out on to the blankets...it was hilarious. And he aced all the APGAR scores and was so very awake and bright eyed- he was the star of the ward with the nurses till we left. They just couldn't get over this little guy that was in such a hurry to get here and had to cause so much consternation and make Myra deliver him!
I just look back so amazed at the miracle that is Josiah. He is healthy and hearty and hasn't a thing wrong with him, defying all these odds that were against him. As I wonder with all my kids, I wonder what God has planned for his life, especially after all the things that occurred. I just can't get over the fact that he is here, and he is healthy. And wonderful. And so snuggle-able. And kiss-able. And so very Josiah.
And then there is Myra, my labor nurse. I have been so blessed to have both Dr. H and her care for me during labor for four of my five children. How we have managed that in this era of managed, parceled out care is beyond me- I guess I've just happened to be in labor on her normal shift every time, and Dr. H has been on call those days...whatever it is, it has been such a cool blessing, and such a history! To be known so well by them meant that I could just relax and do my part. The funny thing was, Myra had been teasing Dr. H (we tend to laugh a lot until the pain gets too bad) that it was high time she got to 'catch' one. (I am now both their record for delivering within the same family.) She was really teasing, not at all being serious- so it was quite funny when she did, in fact, get to catch! It happened so very fast- which I had been trying to tell them both would probably happen, but would they listen? *grins* I have never heard such laughter as it was when he walked in the room thirty seconds too late, just in time to deliver the placenta. He grinned and said "thanks for making me feel like a resident again! I got to deliver the placenta!"
What joy surrounded Josiah in his first minutes of life- we all could not stop laughing and getting a bit teary eyed at the miracle of him! This little guy has already changed lives, long before he was born. I amazed and grateful that I was chosen to be his mama.
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