I think I left off on last Tuesday, right? The lady who came by in early labor never came back… who knows why. Haha There was not much to do the rest of the day so I just hung out, helped out around the house, went for a walk, helped out with some visits with clients who came later… those kinds of things.
On Wednesday Angelina left! I am not sure if I didn’t know she was leaving because sometimes I can be really oblivious or I just missed it somehow within all of the Spanish… probably a bit of both. She left to go to northern California to visit with a back and neck specialist because she has some serious back and neck issues. It was funny because Aurora is from northern California and actually went to pick her up at the airport and Angelina stayed at her house for a night. It was so funny because I was skyping with Aurora and giving her the heads up on a few things before Angelina came and she had been talking on the Internet with Esteban and gave me the heads up on some things… kind of just like it was when Aurora was still in Mexico!! I was sad that Angelina left, but a little bit relieved at the same time. I had been learning LOTS from Esteban as well and he really tried hard to explain things to me before or after we would do something and he always spoke really clearly and it was easier for me to understand. Angelina is an immeasurable wealth of knowledge and of coarse I was learning a ton from her, but she is a little “all over the place” and can be exhausting at times. When I figured out she was leaving that day I was both very sad and kind of relived. Esteban and I dropped her off at the bus station (and of coarse Angelina, who was already running late, just HAD to go but 5 kilos of tortillas, which is a TON of tortillas, to bring to Aurora and her mom before she left. And since we were already out buying tortillas we just HAD to go buy a million other things too!! Hahaha) I thought for sure she was going to miss her flight, but thankfully she didn’t. Afterwards, I helped out with more consults and hung out with the family. That night I COULD NOT fall asleep, I have no idea why. I finally did around 3:00am… that was a huge bummer because around 6:00am Esteban woke me up because we had a birth! Yay!
Wednesday was a crazy day. The birth in the morning was nuts! I didn’t find out until later, but the lady, Alejandra, had been in the casita since 1:00am and had been laboring all night. She didn’t need much assistance until around 6:00am when Esteban came and got me. She was dilating pretty quickly so we were guessing she was going to give birth by around 9:30 or 10:00am. Unfortunately though, this was not the case. Alejandra was about 10 days past the due date, which is considered within the reasonable boundaries, and is a friend of Esteban’s family, so we had been expecting and hoping for this birth for a while. By around 9:00am Alejandra was almost completely dilated and we thought we were ready to go. Her contractions were hard, long, and strong. She was moving around a lot and we were trying different positions that would help the baby come down more. We did this for a very long time. Our guess time of 9:30/10:00ish came and went and she labored on. The baby, Miranda, was doing fine, but her little head was not quite in the easiest position for birth. It was totally fine, but we just needed to try different things and positions to help her head come down more and not be blocked by Alejandra’s pubic bone. The contractions slowed down a bit and Esteban decided to put her on an IV with some glucose just to help her have more energy. Her body was just so exhausted, that the contractions slowed down a lot. This helped a little, but after some more time with little improvement Esteban decided it was necessary to use some Oxytocin to make something happen. The Oxytocin did definitely make something happen. I was able to do one vaginal check and feel the baby’s head come down. That was a really cool experience. FINALLY by around 12:15pm Miranda started to crown. I had gloves on so Esteban looked at my quick and quietly asked me if I would like to catch the baby… and of coarse I said YES!!! I was very excited, but a little nervous because this was not one of the quick amazing births like I had seen mostly, this was a very slow and tough delivery. Poor Miranda and Alejandra. Alejandra kept saying, “Mirandita, ayudame!” Which means “Little Miranda, help me!” As the head was coming out I tried to do what I has seen Esteban and Angelina do before… and push the labia a little to the side around the outside of the head… I really didn’t know what I was doing though. Esteban was right there though and just kind of did for me what I didn’t know do to hahaha. It was pretty easy to tell after a while though that this was not the most typical birth. Esteban told me to wait and he started to go to work. The baby’s head came out so slow and he had to do a lot to help it come out. After the head was delivered, the rest of the body did not just slip right out… even after the next contraction the body didn’t just slip right now. Esteban thought it was shoulder dystocia, so he told Alejandra to flip over on to her hands and knees… this is where things got a little crazy. Poor little Miranda’s blue head was out; her cheeks were HUGE and she looked very peaceful, but I knew she probably didn’t feel so good. Alejandra was kind of a bigger woman and it freaked me out a bit to watch her try and turn over and all fours while little Miranda’s head with just poking out. We tried one contraction with Alejandra on her side, but still not luck. It was very messy with Alejandra turning over and Esteban trying to pull the baby out. Finally, after THREE contractions with the baby’s head out, Esteban was able to reach up and pull the shoulders out. Alejandra was shaking because she was pushing so hard, Esteban was shaking because he was pulling so hard, I was shaking because I was freaked out of my mind….I reached out my hands and kind of “caught the baby, “ but not exactly because Esteban was already pulling her out hahaha. The poor thing had a very blue face and a very white body. She started crying the instant she came out (gracias a Dios!) and her color improved a lot. It was a bit complicated to give the baby to Alejandra while she was on all fours, but we just passed the baby beneath her and then she turned back over. Needless to say, we were all very dirty and exhausted by the end of it. I was still shaking for a while afterwards. Like all of the other births, everything was totally fine in the end hahaha. Alejandra was great, Miranda was great, everything turned out wonderful! Oh and it ended up not being shoulder dystocia (which is when the shoulders are turned so they get stuck on the pubic bone and you have to reach in and turn the baby a bit), it was just the fact that Miranda was HUGE. For sure the biggest newborn baby I have ever seen. Granted, I have not seen THAT many newborn babies, but still, really really big.
The placenta delivered just fine and was totally intact. You always examine the placenta after a birth to make sure there are no pieces left inside the uterus still, and (I know I am so weird) this is a part that I think is really fun… bahahaha J. Anyways, we also examined the labia to check for any ripping. I was expecting there to be some major damage and for us to stitch up, but there was actually almost none!! We didn’t have to do any sutures; Esteban said it would heal better on its own! Yay!
After everything, I took a much-needed shower, ate some lunch, and went back to bed. Thankfully it was Thursday and there are no visits on Thursdays so Esteban was able to rest as well.
Friday we got a call in the morning that there was a girl in labor in a town about an hour away called Tepotzlan. I think I forgot to write in one of my blogs that I had already been to visit this lady before with Angelina. She and her husband live in the very earthy, hand made cottage up in the mountains. It’s a very small, quaint, circular wooden house with and outdoor bathroom and little electricity. The husband made the house himself! When Angelina and I visited before, one of the major issues with this woman is that she has a very large tumor growing on the outside of her uterus. She is already a tiny girl there is just not quite that much space for a huge tumor and a huge baby!! Esteban and Angelina were confident that her birth would be just fine. The only thing that made me nervous was that she wanted to have a home birth and she lived so far in the mountains, a transfer to a hospital would not be an easy thing to do if it was necessary.
When we got the call that she was in labor, we were both nervous because she was just shy of 35 weeks pregnant, this is relatively premature. Esteban said he thought the baby would be fine and this was probably just because there was not very much room left inside this poor little lady. We were hoping that maybe she just had a UTI or a kidney infection that was causing her to have early contractions (this is REALLY common in Mexico). When we got there I had a big feeling she was not in really labor, and sure enough she was not. We did a quick urine test and she did have a UTI. We stayed there a while and chatted with the couple and Esteban checked out how the baby was doing and gave them some instructions for how to prepare for the actually birth and how to treat the infection.
We left a while later and Esteban asked me if I has seen the pyramids in Tepoztlan. I said no and he said, “Well lets go see them, you are only here until Sunday!” So we went. I had NO idea what I was getting myself into. I was just wearing jeans and a t-shirt with some semi-fancy sandals. We ended up hiking around 2 kilometers up this mountain (I am soooo sore) over slippery rocks!! It was crazy! We got to the top and it was so worth it. There were these crazy animals that I have never seen before that almost attacked Esteban and I because he opened a bag of peanuts. They kind of look like a mix between raccoons, possums, and…. I don’t know… they’re hard to describe. They are definitely not afraid of people and will jump on you to get your food! I was really scared of them. The pyramid was pretty cool, but it was the view that was really awesome. I mean it was really cool that thousands of years ago people were able to build this impressive pyramid at the top of this huge mountain, that’s for sure, but the view of all the other mountains and the cities below was truly breath taking.
We stayed up there an hour or two and then made the trek back down. It was so funny both of our calves would shake every time we took a step down, we both had not been working out enough! Haha
When we got back there were a few more visits at the casita. Two women came in who were having contractions and both of them ended up having kidney infections too!!
Later that night another woman came in REAL labor and it was very obvious that she was really in labor. The baby’s heartbeat was a little bit low, not too low, but just enough to want to monitor things more. Esteban had me stay with the family the whole time and check the heart beat of the baby every 15 minutes and the mom’s blood pressure every 30 minutes. I really enjoyed that though. I had lots of time to talk with the family, teach them about labor support, and actually feel somewhat competent.
Esteban guessed that we would have a baby by around 5:00 in the morning, but that baby just flew out by 2:00am! It was a beautiful baby boy. He didn’t have a name, even after we gave them the birth certificate, but the family was still just as excited and loving as could be. He had the cord wrapped around the neck when he was born, which explained the low heart beat, but we just unwrapped the cord and he was totally fine!
Saturday was a fun day. I went to downtown Cuernavaca with the two youngest sons, Misael and Juanito, and we bought some school books for them and some souvenirs for me. Later that day the three sons and I drove to a different town for “lunch” around 4:30pm. We all laughed and joked and ate and had a good time. Later at the house we watched Spiderman and ate “pan dulce” which I LOVE. I spent a lot of time packing up and getting ready to go.
I woke up around 8:00am on Sunday morning because we had to head out of the house by 9:00am. Esteban wanted to leave so early because he said this was the last day of summer for most people and there would be lots of students heading to Mexico City on this day to go back to school. He predicted that the traffic could make the bus ride to Mexico City almost 3 hours. We headed out around 9:00am, picked up some tortillas for me to bring back home, and went to the bus station in Cuernavaca. I got a ticket for the 9:45am bus to the Mexico City Airport. There ended up being absolutely no traffic on the freeway (HAHAHA!) and I got to the airport a few minutes after 11:00am! My flight was not until 2:40pm, so I had some serious time to kill. I took my time through all of the security and everything, it was nice not to be rushed. It was very empowering to do all of these things on my own too! My bag ended up weighing too much and I had to put a bunch of random things in my carry-on, that was kind of annoying. Once I got through everything and found my gate, I went to a Starbucks, got some lunch, plugged in my computer, and started writing this blog!
I had no issues coming back into the US either. Yay! The only thing was that when the immigration guy asked me where I had gone I answered, “Mexorica.” Yeah… brilliant. I tried to recover, but he just laughed at me. My parents met me right at that place where people can meet you… haha I don’t know what that place is called… but anyways it was great to see them! It felt really good to be home J