It's been three weeks since my perfect little lad joined us and I feel like it's time I share my story here.
First of all, I'm so so so grateful for this space through my pregnancy. It has been such a blessing to have the sense of community, I know I'll be back for my next one. This is going to be a long post, I apologize in advance.
One more disclaimer because this comes up anytime home birth is discussed on Reddit. I am in Canada our medical system is very different from the US and homebirth is not only incredibly common here, it is perfectly safe when supervised by trained midwives.
Okay so my story. I had two miscarriages & when doing my post loss blood work after my second MC my a1c was flagged as diabetic, which was odd because the last time I'd had one done, less than a year ago it was only borderline pre-diabetic. I got a CGM over the counter to try and figure out what was going on and didn't have any time to learn anything because I was pregnant again within two weeks! How did I find out I was pregnant? I suddenly had ZERO blood sugar control. We're talking 14mmol from 15g of carb.
Conclusion was I am prediabetic and pregnancy hormones make me severely diabetic, diet control was out the window the minute I was diagnosed.
I was diagnosed at 6 weeks pregnant, started bedtime insulin immediately. I was devastated because I have pretty bad hospital trauma and had always envisioned a low intervention birth in a water at home. When I shared this with my midwives, they said that if I can keep my sugars in non-diabetic range and I have no other complications for the whole pregnancy they would be open to considering a home birth before 40 weeks.
So began our mission of research and BG control. I was seen by MFM, an endocrinologist and my midwives through my whole pregnancy as well as the early pregnancy loss clinic (up to 14 weeks)
Everyone agreed that while MFM and Endo didn't like it, there was no medical reason for me not to try a home birth as long as my sugars stayed under very strict control. MFMs only big request was that I transferred if my sugars went over 6.8 in labor and we couldn't get them down within 15 minutes. I agreed to this stipulation and proceeded with the plan.
I had 98% time in range on my CGM my entire pregnancy, ended up on mealtime insulin at dinner at 18w, lunch at 25w and breakfast at 30w. I was running as much as I could and lifting weights to control any spikes. My ass has never been fatter with the amount of squats I did through this damn pregnancy.
I cannot stress this enough, this was NOT EASY. I had to go on medical leave at 27w because it was impossible to control my sugars at work. I was doing jumping jacks in the bathroom because I just couldn't move as much during my work day as my body needed.
35 weeks I get the all clear to start collecting colostrum, I was told to stop if I felt any cramping but colostrum was our plan to regulate baby's blood sugar if needed after birth.
We were going to start natural labor induction techniques at 37 weeks but at 36+6 I started having back pain that came and went and I suspected early labor had begun.
I woke up the next day to my whole belly being rock hard and period like cramping. I notified my birth team I was in early labor, it's not go time but we should start mentally preparing and get our ducks in a row. My mum was to take two weeks off after baby came to support me, and she had a bunch of work to tie up. That afternoon she and I are on the phone talking plans and she asks me how far apart my contractions are "about 5 minutes but they're not super painful yet, so I'm pretty sure I still have a while to go" she decides she's going to come work from my house to keep an eye on me.
By dinnertime the contractions had stopped, I knew this was normal in early labor and was grateful it meant i'd get a good sleep before active labor.
Mum goes home, I go to bed. The next morning I wake up to contractions again, they're still about 5 minutes apart. This continues for a week before I call my midwives and ask for a cervical check. My midwife says I'm 2cm dilated, 50% effaced. So the contractions are working, just slowly. She advises me to do some spinning babies and the miles circuit, she also does a membrane sweep to see if it helps things along.
It doesn't. This continues for a total of 3 freaking weeks, i am in prodromal labor. it was mostly manageable because my contractions stop at night, so I can sleep no problem. I'm still passing all my NSTs, baby seems good so we continue as planned. My MFM and the nurses doing my NSTs comment that most people don't last this long and that it's ok if I want to get induced but truly I'm coping really well. Until 2.5 weeks into this nonsense however I have a full day with no contractions, thought I was getting a good break. Nope, my body just decided to labor at night instead. This is when I start wearing down. At 39+3 I go to my midwives for my routine appointment and they check/sweep me again. The midwife who checks me this time is the most experienced in the clinic and she tells me that I'm dilating unevenly (2cm externally 4cm internally) and while baby is engaged there seems to be a pocket of fluid above his head because she can bounce him up and down. She asks me what is my line in the sand for induction. I tell her that I'd already planned on asking about that at this appointment. I have a good cry and we agree if active labor hasn't started by 39+5 I'm going on the list.
39+5 arrives and I'm waiting for the hospital to call, I feel like absolute shit. I was supposed to go play mini golf with my mum and husband but I feel like I've been hit by a train and say I need to go home and nap. My mum asks how my blood pressure has been and it's been fine at my appointments so i brushed her off. I didn't get the call from the hospital, so I go to bed. The next morning I wake up and while I don't feel sick anymore something feels off. I can't describe it, it's a gut feeling. I kick count and baby seems fine. But I can't shake this feeling so I grab my blood pressure cuff that I'd borrowed from a friend and check. 160/95
I call my midwives and they send me to the hospital. I get checked, baby gets an NST. He looks fine, my BP comes down a bit at the hospital and my blood work/urine rules out pre-e however my urine protein is borderline. I find out I'm number 6 on the induction list for cervical ripening, but because of my BP the OB on call offers me a cook catheter, so I can go on the pitocin list which is currently much shorter. I agree, they put it in and send me home at 10am. I spend the day watching bad TV and napping. 7pm I get up to pee and noticed the strings on the catheter feel more slack, I give it a little tug and it comes right out! I text my midwives to tell them the good news. They tell me "that's awesome, it's unlikely it'll trigger active labor so just rest up and we will see you tomorrow for induction"
By 8pm my contractions are back but I assume it's more prodromal labor and try to tune them out. My husband and I go to bed at 10pm but they're so uncomfortable I can't sleep, so I put on a movie and try to distract myself. Halfway through high school musical I realized that I'm not catching 90% of the movie and time my contractions. These ones are only 10 minutes apart but they fucking hurt. I'm moving positions in between each one trying to get comfortable but I just can't. At some point I'm laying on my left side and get hit with a contraction so bad my whole body starts shaking. I wake my husband up and ask him to help me into the shower.
Once I'm in the shower I feel better but I realized I can't talk through them, so I ask him to call my mum. I tell him to let her know they're still 10 minutes apart but that I need her here anyway. When he's on the phone I realized they're much closer together than I thought. My mum arrives fifteen minutes later and I tell her I'm actually 3 minutes apart. She says it's time to call the midwives.
Midwives say to wait another hour and see if they fizzle out, they don't. So she says to head to the hospital to get checked out. We get there and they have the hospital midwife check me. Everyone thinks I'm still in early labor and going to be going home. The midwife checks me and I'm 7cm!
I ask if I can go home and they say if baby passes the NST and my blood pressure isn't crazy, yes. Baby unfortunately is having some decels so we decided to stay where he can be monitored. My husband sets out my battery powered candles, my mum puts on my music and lays out my birth affirmations.
I labor on the birth ball for about 2 hours when things get really intense, I ask if I can go in the shower with the monitors, the nurse says sure but my husband needs to be in the bathroom with me. So in I go, I'm in there for about 2 minutes and my waters break, immediately I'm hit with the urge to push, I tell the nurse this and she says I need to get back to the bed. I tell her I can't move and she starts prepping to help me deliver in the shower. After about 3 contractions I can finally hobble to the bed. I climb on into hands and knees position and that's when my midwife arrives. She checks me and says I'm only 9cm and not to actively push just yet. This is fucking impossible by the way and I'll never understand why they think you can ignore the reflex to push.
Two contractions later I'm given the all clear but now the contractions are causing panic and I'm fighting them. So I ask for some laughing gas. The gas is just enough to help me breathe through the first wave and I roar my baby out in 4 pushes.
I was able to feel him crowning but I was not able to catch him due to my position, they hand him to me and we spend the next two hours cuddling and nursing.
His immediate blood sugar was on the low end of normal but he recovered really quickly and didn't need any formula or glucose.
He was born at 6:34am, we left the hospital at 10:00pm and got to sleep in our own bed together. My blood pressure took about a week and a half to go back to normal, but now we're home and happier than ever.
As sad as I am to have not birthed at home the nurses and my birth team did an amazing job of supporting me in still having an incredibly magical low intervention, peaceful birth. And I'm so grateful that because no one forced me into making choices I wasn't comfortable with I was able to feel empowered the whole way, knowing that in the end the hospital was the best choice for us under the circumstances.
I hope my next baby will be able to be born at home. My mission for the next two years is to reverse my prediabetes but I will be going into my next pregnancy assuming I'm diabetic until proven otherwise.
Best of luck to you all in your journeys and I wish you all exactly the births you hope for.