Medically reviewed by Lizellen La Follette, M.D.
Dr. Lizellen La Follette: Oh, good morning, Ryan. Good morning, Melisha. You're thinking positive, kiddo. You're having Boston today?
Nurse: What a great name.
Dr. Follette: Right? Is it a great name?
PREPARING FOR THE C-SECTION
Dr. Christopher Hatch: So, I'm Dr. Hatch. I'm going to be your anesthesiologist today.
Dr. Hatch: Sounds like they weren't able to get an IV in you, so I'm going to take a look at it and see if I can help you out there.
Nurse: Let’s only do this once, okay.
Dr. Hatch: Okay, my dear, on the count of three a pinch. Ready? Get you numb. One, two, and three – big pinch.
Nurse: Deep breaths. Deep breaths.
Dr. Hatch: Breath, breath, breath. Burn, burn, burn. So sorry.
Dr. Hatch: How's your hand? Is it going numb?
Dr. Hatch: Deep cleansing breaths. That's what we do. Hang tight. I'm just putting – it's all right. It's in.
Ryan: It's already in.
Nurse: I'll dress it.
Dr. Hatch: Okay. I'll just hold this like this for you while you do it. It's always good to have say. So, there's no more needle in there, okay? Take deep cleansing breaths. This is just a nice big dressing that's going to go on and make sure this wonderful IV doesn't go anywhere. Okay?
Melisha: All right.
Dr. Follette: Here we go. It's a little cold in here, Melisha, but that little step stool is your spot.
Dr. Hatch: No surprises. That's the deal. Okay?
Dr. Follette: Here we are.
Dr. Hatch: You're going to do great. Do you know what you're having this time?
Melisha: A boy.
Dr. Hatch: Right on. Okay. Lots of cold soap on your back. Okay?
Dr. Hatch: I'm not going to sneak up on you, okay? I promise.
Dr. Hatch: Okay, another drape on your back, a little bit cold, a little bit sticky.
Honestly, your job right now is to just focus on, before you know it, you're going to be seeing this person. And at that point nothing else is really going to matter what's going on.
Does that feel like I'm pushing right over the bones of your back or like I'm pushing right over your spine? Perfect. I'm going to put some local anesthesia in there, it's going to sting a bit. Remember like for the IV? You're going to feel that on the count of three, okay? Take a nice deep breath for me. One, two, and three – big pinch.
Dr. Follette: Good job.
Dr. Hatch: You're doing great.
Dr. Follette: Wow, awesome, Melisha.
Dr. Hatch: Nice, easy, deep breaths. Okay? Okay, you're doing a great job.
Dr. Follette: It's very hard to get your spine to bend when you have a baby in front. So part of it is just trying to get the spaces for Dr. Hatch.
Dr. Hatch: That's more challenging when you're shorter as well, because everything's a bit more compressed.
Dr. Follette: Still feel pressure.
Dr. Hatch: I think we're just dealing with very tight spaces.
Dr. Follette: Yeah, stay in that same position. You're doing great.
Dr. Hatch: You're doing super great, everything's fine, okay? But I think we're in the right spot now.
Melisha: Okay, okay, okay, okay.
Dr. Follette: Yeah. Nice. Beautiful. Good job.
Dr. Hatch: Okay, just going to hold super still for me. You're going to feel some pressure and some warmth in your back now.
Dr. Follette: Remember the warmth?
Dr. Hatch: Pressure and warmth. You're doing amazing.
Dr. Follette: Wonderful.
Dr. Hatch: Any more pain?
Dr. Hatch: Perfect.
Dr. Follette: Done. I know.
Dr. Hatch: You were super patient with that. Someone could help them with the legs and then we'll just kind of rotate in.
Dr. Follette: Down on your elbow. Just straight down on your elbow. We got your legs.
Melisha: My legs are numb.
Dr. Hatch: I know. It's going to be fun.
Dr. Follette: Yeah, that's it, remember. That was the point, remember?
Dr. Hatch: We make you numb and then we try to make you move, right?
Dr. Follette: We're going to listen to Boston's heartbeat, and then we're going to put the catheter in, and then we're ready to go. Okay, guys? Are you guys okay for us to scrub?
Melisha: Where's my husband?
Dr. Follette: But you shouldn't be able to feel much except for maybe the pressure in your belly.
Dr. Hatch: You might feel a little pressure.
Just keep in mind, you're the center of our universe. Okay? We're all here for you, all right?
You're going for it here. Very good. Sorry dear, it's a way to help them retract, okay?
Dr. Follette: Okay, we're going to go scrub. Okay? We're going to go scrub and then we'll bring Ryan in. Okay, everybody? Okay, we're putting our gloves on, and we're going to put the drape on, and then we'll bring Ryan.
Dr. Hatch: Her vital signs are perfect, she just feels a little yucky right now, which is pretty standard.
Dr. Follette: Okay. You're going to feel some pressure. We're going to get Ryan in, in a second. That'd be nice.
Melisha: I'm feeling better.
Dr. Follette: Good, you should.
Melisha: Oh, God, thank you.
Dr. Follette: All right?
Dr. Hatch: I mean there's nothing fun about that initial feeling.
Dr. Follette: Okay, let's just measure for fun.
Dr. Hatch: What time for the time up then, Jordan?
Jordan: Hold on, I'm getting there right now. Fifty-four. 08:54.
Dr. Follette: It's marked and we're ready to go. Dr. hatch, we are good. Ready? We got Ryan to come?
Dr. Hatch: He's going to be here in two seconds, okay? We're going to step out the door and get him now.
Dr. Follette: We're starting.
Dr. Hatch: What did you all say time-wise? What did your computer say?
Jordan: Get a hold right there.
Dr. Hatch: Thank you.
Ryan: You look great.
Melisha: Okay. Thank you.
Dr. Follette: Getting through all the layers. You can see beautiful layers. Watch out for the knife. Let's get the Bovie back just for fun. You're doing great, Melisha. We've already started, okay, cutie? We've already started. We're just going through the fascial layers now. All the layers, your beautiful muscles, you'll be pleased to know we're separating them not cutting them.
Okay. We're in the fascial layers now. Everybody's good. We're going through all the layers, okay? Make sure all the layers are all good. Making sure the bladder's out of our way. Metzenbaums again. Thank you. Just going through all the layers. There's some scarring here, so we're just getting a little layers up.
Melisha: Okay. My chest feels tight.
Dr. Hatch: You're just going to feel funky like that. Right now your oxygen saturation is 100 percent. Okay? So that's all good.
Melisha: I'm okay. I'm okay.
Dr. Hatch: You're doing a great job.
Melisha: I trust you. I trust you.
Dr. Follette: Everything's going great.
Dr. Follette: You're going to feel some pulling.
Melisha: I feel pulling, yes.
Dr. Hatch: Yes. A lot of pulling, a lot of tugging, a lot of pressure. And at some point, honestly, it's going to feel like someone sitting on your chest, okay? That's normal because they're putting a lot of pressure at the top of your belly to help deliver, okay?
Dr. Follette: Alexis retractor. Remember it's two pieces of almost cellophane. It's like a retractor so we don't have to pull and tug. So we bring it in and then we let the uterus come to us when we fold it down. All right. We ready for uterine incision, everybody? Gonna start here. Uterine.
Speaker 6: What's your time now?
Speaker 8: 9:01
Dr. Follette: We want to be very careful because everything's nice and thin here, and we would like to stay away from any parts of the baby. Here we go. There's the amniotic sac, so I obviously didn't go underneath the sac, so that's good. Butt is here, so we need to deliver this baby breech. Butt's here.
Melisha: Oh, my chest.
Dr. Hatch: Lots of pressure here. Lots of pressure.
Dr. Follette: Hold on. Hold on. Lots of pressure from us. Here comes the baby's butt. We're coming out butt first. Look at the baby's first. Hi, cutie. Umbilical cord around the body here. Here's an elbow. There's another baby delivering itself. Hi! This is Boston. Let's see if we can show Melisha. Can I show Melisha her cute little boy? Melisha, look. Look at this cutie. Can you see him?
Dr. Follette: You got him? Congrats. Hi, Boston. You tell us, buddy. You're nice and loud. You're nice and loud, buddy. Nice and loud. You got him?
Ryan: Buddy. Hey big boy.
Dr. Follette: Placenta is out and doing great. Wiping the uterus clean. Just to make sure, I'll take some rings so we can see all the layers. We'll go and then we'll take a stitch.
Nurse: You can come on over and meet him if you'd like. He's ready for you.
Dr. Follette: We're closing the first layer. We'll have a second layer after this, okay?
Melisha: Hi, baby. Hello. Hi.
Dr. Follette: So what we're trying to do is clamshell the uterus to hide the first layer of stitching by pulling the uterine layer around it so that it hides it and it gives it a second strength layer. So that's called a two-layer closure, which is our normal layer closure that we have for a c-section.
Everybody's good, Melisha.
Melisha: The baby's okay?
Speaker 6: Yeah, look at him. Oh, he's touching you.
Dr. Hatch: Everything's fine. He's just chilling right now. It's all good. Are you doing okay?
Dr. Hatch: Yeah? Good.
Dr. Follette: Tubes and ovaries over here looking good. This side, that looks good on that side, Jackie. We're done. We're going to put the uterus back in. In it goes and then we're going to take the retractor out.
I'm going to close this all in one big layer. Trying to stay away from all the vessels and make sure we're fine here. We will close now the fascial layer and then everything's fine up here, Dr. Hatch: Yeah? Okay, great.
Dr. Follette: It went great. Uterus is closed.
Nurse: Let's see how big he is?
Ryan: Ooh. We weren't expecting that one.
Nurse: 36-80. 8 pounds, 2 ounces.
Ryan: 8 pounds, 2 ounces, babe.
Dr. Follette: And that's a big – yeah, no kidding. Eight pounds.
Melisha: I knew he was big.
Dr. Follette: He was, cutie gets some credit for that.
All layers are closed, Melisha, and you will not have any staples or anything to take off. It's all underneath the skin. I know, right?
Congratulations. Boston's born. And thanks, everybody.
Melisha: Thank you for everything.
Dr. Follette: I know, right? Come on. We did it. Hello you, Boston.
Ryan: Thank you. Follette: Oh my goodness. Look at the chubster.
Ryan: Very happy dad. I'm glad mama's doing okay.
Dr. Hatch: Thanks everyone.
Dr. Follette: Thanks, Pauline.
Nurse: Now we're in recovery. Basically you'll be here. We'll be checking on your vitals for the next hour or so, and when everyone is ready to go we'll move you directly to your postpartum room, where you'll be for the next three to four days.
Nurse: Okay. We want to see, can you move your legs now?
Nurse: Move your toes?
Melisha: I can't.
Nurse: Okay, so we're going to put your head up a little bit. When I put your head up, if you feel nauseated or dizzy or anything, you tell me immediately.
Any questions for me?
Melisha: When can I start nursing?
Nurse: Right now.
Nurse: We're going to go on the side to start with just because you'll be able to use your hand when you need it. I'm going to put him back inside your gown. How does that feel?
Nurse: I'm going to try to bring his lower lip down just a little bit more. There we go. That's the one. How does it feel?
Melisha: Like he's sucking.
Nurse: Perfect. Not biting?
Ryan: Good job, Mama.
Melisha: Thank you. It was not easy. The staff was really helpful, so I'm so grateful for them. I started sobbing because I was so happy and he's so healthy and I think that was the biggest thing. Having a healthy baby at any age is a blessing but especially when you're older. I'm just really grateful. Yeah.
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