It's been more than seven years since Kayleigh was born and ten since Abby was born, but on January 8th, 2018 we welcomed our third baby, Andrew Joseph Newell. He was born at Sky Ridge Medical Center in Lone Tree, CO at 2:30 pm on Monday, 1/8/18. The weekend leading up to his birthday was quite uncomfortable, with lots of contractions and feeling of anxiety. At my doctor's appointment the Friday (1/5) before, my doctor performed an internal check and noted that I was 3.5-4 cm dilated and 80% effaced.  She didn't think I would make it to the following Friday's appointment, but we also knew those numbers didn't necessarily predict a birthday!

With Andrew's pregnancy, there was definitely less patience for the discomforts of a growing belly and all the nerve "zingers" shooting down my legs as I walked towards the end of the pregnancy. Because of a tilted uterus (I think) I carry the baby internally more, which means I really didn't show much until I was 7 months along.  The downside of this is of course all my internal organs are relocated and squished, making eating difficult and resulting in a lot of heartburn. My heart rate, normally around 60 resting, was up in the 90s towards the end of the pregnancy.  Although the doctors were not concerned, saying it was perfectly normal, it was alarming to get notifications from my Apple Watch saying my heart rate reached above 120 bpm while I'm sitting and having a calm conversation!

Right before Christmas, I had an ultrasound that showed Andrew's head being about 2 weeks ahead while his body and leg length measuring to his gestational age.  Slightly concerned that the baby would be too large, my doctor ordered another ultrasound size check at week 36.  So, on January 2nd, Andrew was scanned again and it showed his head almost 3 weeks ahead.  Yet, after all the numbers were crunched, they determined he would be big, but not abnormally so. Since Friday's internal checked showed I was starting to dilate and efface, they didn't think we needed to worry about inducing and that he'll be arriving soon! 

Almost time!

Paul brings the girls to the hospital. Now we wait.

Sure enough, Andrew arrived at 37 weeks and 3 days. We were hoping he might have the 1/8/18 birthday and, coincidentally, I was checked into labor and delivery the morning of 1/8/18.  The contractions I was able to feel were about 5-7 minutes apart for over 2 hours after we went to bed Sunday night.  I woke Paul up and we called the Women's Health Care Associates' after-hours line and talked to the on-call doctor at 1:35 am, who suggested we go to the hospital for triage and at least have a peace of mind.  We arrived at Sky Ridge around 2:30 am and by 4:00 am I was admitted to Labor and Delivery. Contractions were irregular, but about 3 minutes apart and I had dilated to 5 cm and was 90% effaced. 

Throughout the next morning, the contractions came and went, but nothing regular nor terribly strong.  Dr. Bubier saw me around 7:30 in the morning and suggested we break my water at noon if it didn't happen on its own. I wanted to wait for Paul to arrive back at the hospital after taking care of Abby and Kayleigh.  Both girls were still on winter break and were eager to be at the hospital when Andrew arrived.

At 12:30 pm, Dr. Bubier broke my water.  My mom and dad arrived shortly after.  I remembered from Kayleigh's delivery the pain of delivering naturally and I didn't necessarily want it repeated.  However, I also wasn't keen on an epidural either because it made the delivery and recovery of Abby's birth harder.  So, when the contractions got serious, I talked to my Labor and Delivery nurse, Sue, about getting some nitrous gas to take the edge off of the worst parts of the contractions and we agreed she would get the set up and also call Dr. Bubier because I seemed pretty close to delivery.  Minutes later, Dr. Bubier came in and she was assessing between me and another patient who was also about ready to delivery.  While she was in my room, I started to feel the urge to push and lost the ability to speak, grunting in pain.  I hear the room go into action - the bed was transitioned and readied for delivery, Sue came in with the nitrous set-up and I heard her say, "I guess this is too late!" Dr. Bubier called another nurse to say she would deliver me first and have the other patient on epidural not push yet. My parents and the girls were ushered out of the room by Paul when the pain got intense. As I remembered, the urge to push definitely overpowered any contraction pains and luckily, delivery was fast.  After one push, I felt the head crown and deliver.  A nurse told me to pull my knees up before the second push.  After the longer and easier second push, Andrew arrived, showing off a powerful set of lungs with his cries!

So exciting to hold this perfect little human just moments after he arrives.

Ahh, bright lights!

Gong-Gong and Po-Po brought Andrew his first red envelope to welcome him to the world.

He was a healthy 8 lbs 0 ozs and 20.1 inches long.  Our smallest baby yet! Paul cut the cord and Andrew placed on my chest for some skin-to-skin time.  Of course, the first thing he did was pee all over me! We all had a good laugh as I tried to remember how to hold a squirmy, slimy newborn.
For the next hour, I got to hold Andrew while Dr. Bubier delivered the placenta and gave me a couple of stitches and I was cleaned up. My parents came back in the room with Abby and Kayleigh.  Kayleigh was a bit traumatized by the sound I made when in that much pain.  However, everyone was shocked at how quickly he was delivered.

Getting reassessed, footprinted, weighed, measured, and tagged

Re-burritoed and ready for more bonding with the family.

First picture as a family of 5

My mom's first time cuddling with Andrew.

My dad and Kayleigh enjoying some time with the new baby.

Andrew's apgar score was 8 a minute after delivery and 9 when he was reassessed. In the warming bed, he was weighed and measured, wiped down, and diapered.  He got his Vit K drops and a Hep B vaccine shot before finally coming back into my arms.  Because of my diabetes, his blood sugar level was checked and - thank goodness - it was fine.

Daddy admires his boy.

Abby was thrilled to hold Andrew.

Trying to keep Andrew awake for feedings was difficult.

After I moved from the Labor and Delivery room to a recovery room, Paul took the girls and my parents out for dinner.  Then everyone went home for a rest.  Andrew and I would spend a fairly restless night where the nurse tried to wake us up every two hours to make sure Andrew fed and had the appropriate wet diapers.  The poor little guy was so drowsy he couldn't stay awake for feedings. The nurse suggested some skin-to-skin to see if that might keep him awake long enough. Unfortunately, I had to resort to using a cold wet wipe on his face to wake him up and feed long enough to satisfy the nurse! In the middle of the night, he decided to prove his GI system worked perfectly by having a poopy diaper. During the change, he peed over all of his blankets and got poop on his hospital band.  I called the nurse and we decided it might be good for him to have a bath. We took a trip to the nursery where the nurse expertly gave him a sponge bath, which he actually seemed to enjoy!

Bath starts with a head/scalp massage.

Getting all cleaned up.

First spa treatment.

Time to relax under the warming lamp.

Cradled in a blanket support, enjoying the warm bed, waiting to get a new ankle band.

The next morning, Paul dropped Abby off at school then brought Kayleigh (who was still feeling under the weather) to the hospital. Our neighbors, Kristin and Sandy, stopped by for a visit and my parents also came back. The morning was a series of waiting on doctors to see if Andrew and I could be discharged and go home. My OB/GYN, Dr. Ashbeck, stopped by around 7:30 am and gave me permission to go home, but there turned out to be a mix-up and our pediatrician's office never received word that Andrew was born.  As a result, we got a personal call from Dr. Traver apologizing for the mix-up - even though it was Sky Ridge's fault - and a pediatrician from the management group (a group of pediatricians for those patients who have not picked a pediatrician yet) came by to give Andrew a clean bill of health and ok to go home. We would still need to follow up with Dr. Traver in his office the next day.