Just 10 days to go until the big day. Actually, I’ve been counting down with work shifts. I have two more shifts to work in Friday and Saturday before I leave for Hawaii. I know a lot of brides are extremely stressed out in the days before their wedding. (I think my fiance is more stressed than I am because he has to work this week in addition to me bossing him around.) But I’m sitting here watching the Golden Girls and The View.
These are the things I have left to do.
- Pack. I have favors to pack as well as all my clothes.
- Download our first dance and dance with mom/day songs to an IPOD. We’re not having a DJ at the reception since it’s at the restaurant and we did not do a buyout. So we’re just doing a dance with me and my dad/ Matt and his mom. Then our dance together. The song I picked that I am going to dance with my dad to is called, “My Little Girl”. It’s on Wedding Music Central. Matt and I are going to dance to either “Beautiful” or “You are the love of my life”. Both songs are by Jim Brickman. Jim Brickman has a special place in our hearts. We went to a concert for his first birthday that we spent together which was only a few weeks after we started dating. We try to to go to a Jim Brickman concert once a year. So Jim, if you’re reading, please come to San Diego. We haven’t seen you in a few years.
- Decide on either leis or corsages for our mothers. I want leis because we’re in Hawaii and Matt doesn’t think leis will look nice in pictures.
- Buy a pair of earrings for my wedding day.
- Print my programs and add the ribbons to it.
- Buy an outfit for my wedding night. I got a few things from my wedding shower but I think I need something really spectacular.
- Pedicure- Matt and I are going on Monday next week. I am insisting that Matt gets a mani/pedi and I’m going to get a pedi here. I’ll get my mani on Maui cause my nails will just get messed up before the wedding day.
I think that’s about it. Everything else is pretty much set. I do have some worries about the weather. Matt looked up the 10 day weather forecast for Maui and it’s going to rain the 2 days before. The day of our wedding is not forecast yet. I have to wait until tomorrow to find out. Keep your fingers crossed that I’ll have a rain free wedding day:)
I have a cool story to tell about a patient I had yesterday. She came into the hospital in labor 30 minutes before I got into work and wasn’t planning on an epidural. She had whopping contractions on 1 mil unit of pitocin and wasn’t planning on an epidural. So I used positions like the birth ball, sitting, and squatting to keep her comfortable. I check her cervix only once because I know how much pain those cause. She was 4 cm dilated but had a bulging bag of water. (I went to see my gyn last week and got my ovaries checked. Talk about pain. ) About 11 am, the doctor comes in and breaks her water. She tells me that she’s still 4 cm and to keep increasing her pitocin. I ask if she’s alright and she smiles at me and says yes. About 5 minutes later, she crys for an epidural. I ask, do you want me to check you first? She says I can’t wait. I remind her that she wants to do this without drugs and she says “No… I need the epidural.” So I get her one. She’s numb and comfortable before I go to drain her bladder with a cathether and check her cervix again. Ugh… she’s completely dilated. The woman was in transition. She could have pushed the baby out if she hadn’t had the epidural. Note to self, check the woman anyway even if she’s begging for an epidural. She may thank you later.
I get the room ready then alert the doc about her being ready to push. I give her some time to relax then we start pushing. 2 hours later, despite flipping her from side to side and pushing, the baby is still at the same station and is getting caput (which is a spot on the head that gets swollen). Oh no… So I call the doc and ask her to evaluate. I had my suspicions that the baby was turned the wrong way. For those of you who are interested, babies are usually born occiput anterior which means that the back of the head is facing the front of the mom’s pelvis. Occiput posterior babies have the back of the head facing the backbone. These babies either take longer to come out or not at all because the largest circumference of the baby’s head is at the mom’s narrowest point of her pelvis. They sometimes come out with position changes.
The doc comes in and evaluates. She tells the mom it doesn’t look good that the baby will come out vaginally but that the baby looks good and that she can continue to push because mom wants the baby to come out vaginally. I ask if the patient can “labor down” which means to rest and allow contractions to bring the baby down. Now a lot of docs don’t believe in laboring down but I’ve really seen allowing moms to rest bring the baby down significantly. She says that I can let her rest for 30 minutes but start pushing with her after that. I turn my patient on her side and tell her to rest and that that I will be back in 30 minutes.
30 minutes later, I walk in the room. My patient tearfully ask me if I think she can have her baby vaginally and if her doc is the only one who can deliver her baby. I check her baby’s position again and it’s still high. I tell my patient to get on her other side and I tell her, I’m going to do everything I can to help her have her baby in this room instead of the OR. I tell her, “rest for 30 more minutes. I’m going to get you on your hands and knees to turn this baby. Don’t push your epidural button.”
So after she rests a little longer, I get her on her hands and knees and get her to rock. She rocks back and forth for about 15 minutes and her baby is moving around her uterus. She says she feels her baby shifting in her pelvis so I rest her on her side and have her start pushing. 20 minutes later, her baby is at the outlet and ready for the doc to catch her baby. The doc couldn’t believe that and OP baby had turned and is going to be delivered and in that short amount of time. My patient cried when her baby was born and told me that she couldn’t have done it without me. That made me cry and thankful that I was there to help her.
Still working on my shawl. It feels like thousands of stitches must be knit before I get to the end of a round. Ugh….