Birth Matters Podcast, Ep 130 - Hypertension Induction w/o Pain Meds for 2nd Birth

Following Michelle’s first baby’s unmedicated hospital birth, which she shared in Episode 86, Michelle is surprised to be told at around 39 weeks that she needs to go straight to the hospital to be induced due to gestational hypertension. She advocates to go home to say goodbye to her son and grab her bag. Once she checks into the hospital for the induction, it goes much more efficiently than anticipated and she’s able to give birth again without pain medications and this time without tearing, using all kinds of proactive comfort measures with the support of her husband and doula. She also describes some of the guilt she felt and grief she experienced in having a second baby at different points in pregnancy and beyond. This story will be particularly supportive to folks who have hypertension, are being induced, and/or are having a 2nd baby or are thinking about it for sometime down the road.

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Episode Topics:

1. Introduction and Background

  • Michelle’s previous appearance and first birth story

  • Family update: children’s ages, living in Astoria, marriage, and family plans

  • Reflections on having children close in age and future family size

2. Transition to Motherhood and Family Planning

  • Decision to become a stay-at-home mom

  • Experiences with two children under two

  • Thoughts on age gaps between children and future pregnancies

  • Personal experience with large sibling age gaps

3. Conception and Early Pregnancy

  • Conception story after a trip to Greece

  • Nursing, return of menstrual cycle, and casual approach to conception

  • Surprise and excitement at positive pregnancy test

  • Immediate feelings of guilt about having another baby so soon

4. Emotional Adjustments in Early Pregnancy

  • Processing emotions about expanding the family

  • Navigating guilt and emotional challenges

  • Early OB appointments and confirmation of pregnancy

5. Pregnancy Experience

  • Differences between first and second pregnancies

  • Fatigue and challenges with a toddler at home

  • Husband’s work schedule and solo parenting

  • Gender reveal: process and family reactions

6. Prenatal Testing and Medical Concerns

  • Nuchal scan and genetic counseling referral

  • Decision-making around CVS and amniocentesis

  • Monitoring baby’s growth and measurements

  • Concerns about baby measuring small, especially limbs

  • Emotional impact of ongoing medical monitoring

7. Coping with Medical Anxiety

  • Michelle’s history of medical anxiety

  • How motherhood changed her approach to medical situations

  • Support from her OB and confidence from previous birth experience

8. Birth Preparation

  • Working with a doula (Chana Diamond)

  • Securing support and backup plans

  • Physical discomforts: back pain, chiropractic care

  • Late pregnancy symptoms: itching, Braxton Hicks, prodromal labor

  • Emotional preparation and feelings of grief/guilt about changing family dynamics

9. Managing Toddler’s Transition

  • Planning a night away before birth to prepare toddler for separation

  • Toddler’s emotional reaction to parents’ absence

  • Strategies for managing the transition for the older child

10. Final Weeks of Pregnancy

  • Rising blood pressure and monitoring

  • Preparing for possible induction

  • Balancing medical advice with personal birth preferences

11. Labor and Delivery

  • Details of the 39-week OB appointment and decision to go to triage

  • Emotional response to possible induction

  • Hospital experience: monitoring, staff interactions, and decision-making

  • Induction process: Foley balloon, Pitocin, and labor progression

  • Managing labor without an epidural

  • Support from husband and doula during labor

  • Rapid progression to active labor and delivery

  • Pushing and birth of baby Ivy

12. Immediate Postpartum Experience

  • Golden hour and initial bonding with baby

  • Emotional complexity: missing her son while bonding with newborn

  • Hospital stay: sleep challenges, baby’s hearing test, and minor medical concerns

13. Coming Home and Early Postpartum

  • Reuniting with toddler and introducing new baby

  • Toddler’s adjustment to sibling

  • Early postpartum challenges: balancing care for two children, fatigue, and limited support

  • Physical recovery: bleeding, passing tissue, and follow-up care

14. Breastfeeding Journey

  • Breastfeeding experiences with both children

  • Challenges with clogs and mastitis

  • Self-weaning of second child and emotional impact

  • Reflections on the end of breastfeeding and reclaiming her body

15. Reflections on Parenting Two Children

  • Differences between first and second child

  • Adjusting expectations and embracing each child’s uniqueness

  • Sibling relationship development

  • Looking forward to time with both children

16. Postpartum Health and Recovery

  • Blood pressure monitoring at home

  • Slower physical recovery compared to first postpartum experience

  • Importance of rest and support

17. Final Reflections and Advice

  • Emotional journey of expanding the family

  • Reassurance for parents about love expanding with each child

  • Encouragement for those facing induction or unexpected birth scenarios

  • Importance of supportive care providers and flexible expectations

Interview Transcript

Transcript and Pictures Coming Soon!