If you feel that something is "just not right" with your pain level/bleeding/recovery don't hesitate to contact your OB and go in for a check. I had been in excruciating pain (yes I did have an episiotomy, but this was intense crazy pain that made walking, sitting, standing hell) while in the hospital and after our discharge. I finally went in to see my OB on probably Day 4 or 5 (I can't remember now) and as soon as she got down there to check things out she says "Yup, ok, hand me the blah blah blah". I literally breathed a sigh of relief. Basically what she said is that when you give birth etc new healing vaginal tissue grows/good tissue called granulation tissue. But it can grow out of control and when it does that it can lead to excruciating pain. So she used silver nitrate on the tip of a stick to burn the overgrowth off. http://wiki.answers.com/Q/How_do_you_treat_granulation_tissue
Didn't hurt a bit, at first, stung a little. But I do feel better now. She said what I had was definitely causing me extra pain than just the birth. I felt so relieved to have my feelings validated, and not just be told "this is normal, you just gave birth duh". So, please, don't hesitate to go get checked out if you feel something isn't right, because in my case, it wasn't just normal par for the course recovery pain, this was icing on the cake, and now it's taken care of.
LONG Birth story (copied from my personal blog/website):
Saturday, November 1 (40w,1d): After a typical Saturday Frank and I went out to dinner at Ruby Tuesday's. I had some light contractions throughout dinner that I thought were just more Braxton Hicks. After dinner we just lounged around the house watching TV. Pretty much right at 11pm I started experiencing actual painful contractions, followed by bloody show at 11:30pm and then diarreah at 11:45pm. That's when I knew. The contractions continued to get painful and we timed them with contraction master. They started out about 9 minutes apart and quickly got to 5 minutes a part.
Sunday, November 2 (40w,2d): Once the contractions were about 5 minutes apart and fairly painful I called the doc around 12:15am or so, who suggested we wait it out until they were more like 3-4 minutes apart. We waited another hour as the contractions continued to get worse, then finally headed to the hospital around 1:15am or so. Once there, they got me to a room, checked me and said I was only 2cm dilated and 70% effaced. I felt so defeated! Especially since my OB had told me I was 2-3cm and 80% effaced on Thursday! They checked me after 45 minutes and I was still only 2cm and 70%. Boo! They had to discharge me saying I was in "early labor" and that this could last for days. Great I thought.
So back home we went. But the contractions only continued to get worse. Much, much worse. And closer together, like 3-4 minutes apart. We tried to get some sleep, and I took a shower to see if that would help relieve the pain of the contractions, but it didn't. I was miserable. And in so much pain. Finally, around 8:30am I told Frank I couldn't take it anymore and was calling the doc again. I needed something for the pain. Thankfully she told us to come on in and get checked out, and if I was 3cm they could admit me and at least give me some IV meds. Praise the Lord. So back to the hospital we went. Let me tell you, having a contraction in a moving vehicle is not fun. Frank did his best to calm me during each contraction, but it sucked royally. And our hospital is only 10 minute from our homw by freeway.
Once we go the hospital, I started praying that I'd made progress, so they would admit me. We parked the car and made our way walking through the parking lot to the front doors - stopping 3 times to get me through a few contractions. Once we were all checked into our room, Dr. Herman herself came by to check me and announced that I was 4-5cm dilated and 90% effaced, and that meant she could order the epidural if I wanted it. Thank you Lord! And yes I wanted the epidural, badly. Unfortunately they had to draw a ton of blood (left a nasty bruise on my forearm, nurse "hit a valve" she said), check my platelet count (because it had been low earlier in the pregnancy and they warned me it needed to be above 100 to get the epi) and pump me full of a bag of fluids first. That whole process took about another hour, maybe less. Going through those contractions in bed was so painful! Thankfully my platelet count came back at 144 so I was cleared for the epidural. The nurse anesthetist and the anesthesiologist were both wonderful and talkative and light-hearted and the insertion of the epidural truly didn't hurt that bad. Holding still through a contraction took some will power, but I managed. They had me sit up on the edge of the bed, and lean over the food tray and I squeezed another nurses hand when I was going thru a contraction.
The epidural was awesome. I could tell that it "took" about 150% on my left side, and about 95% on my right, but I wasn't concerned. Having "dead leg" is pretty funny/weird. I could NOT pick up/move my left leg at all. LOL. I really couldn't feel the contractions, every now and then I could tell when I was about to have one and would glance at the monitor to see the contraction peak. At some point Allie's heart rate was also being monitored, and she started having severe decelerations of her heart rate during each contraction. So they put on internal monitor on her head. http://pregnancy.about.com/od/fetalmonitoring/f/internalmonitor.htm
At some point through all this they had to break my water and insert a catheter. Didn't feel either procedure thankfully. But since they broke my water they didn't want to continue checking me internally for continued dilation. Basically they said, let us know if you feel pressure like going poo because that will mean it's pushing time. O-K I thought, but I wasn't sure I would be able to feel any of this "pressure".
To try to help get Allie's heart rate stabilized they had me lie on my right side. Didn't help, so they had me switch to lying on my left side. At some point the right side of my back started to hurt and my stomach started to hurt also. So I switched back to my right side. Didn't help. At this point, I was begining to realize that the epidural had started to wear off a tad on the right side, and these were contractions I was feeling, and the dreaded "back labor". So they checked me and said I was 9cm and fully effaced and just about ready to push. In fact, they said "push on the next contraction and we'll see if it can get of the last lip of cervix and get to 10cm". Did I mention that Frank was out of the room at this point down the hall somewhere trying to find Nancy (my step-mom) in the waiting room to tell her it might soon be pushing time? Imagine his surprise when he walked in and I was actually pushing! When he'd last left the room they had said for him to go tell anyone not yet on their way to the hospital to start heading that way now if they wanted to be around shortly after the birth, because things were moving along quickly. Ha!
The look on his face was so full of surprise, but once we got past that he and Nancy took up their posts on my left side holding my legs and head and helping me push with each contraction. This went on for about an hour (but honestly, it didn't feel like that long for me at all, and frankly I was pretty calm throughout it all, we even had the Detroit Lions game on the TV during this whole time, my husband later said it helped him to not freak out, to have the TV to distract him, honestly it helped distract me a bit too). I couldn't feel the contractions but my doc kept saying, when I felt one let them know and I would push 3 times for each contraction. I couldn't really feel them, so she had her hand on my belly/uterus and could sorta tell when a contraction was starting, so that helped cue me in on when to push. They had me feel down there a couple times and I could feel her head, it was so weird feeling. At one point Doc said I needed an episiotomy. I didn't care, I was like ok, go for it. Whatever will help get Allie here safely. She snipped me (couldn't feel a thing) and then in the next push (I think) Allie was born at 3:52pm. Pretty much her whole body came out at once, head and all.
They put her right on my chest and that was amazing! After cleaning her up and weighing her etc, we got to snuggle a bit more and test out breast feeding for the first time. Part of Frank's family and my family were able to come have a short visit and meet Allie that night too.
And my amazing husband even got me a special gift that he gave me to celebrate Allie's birth - a beautiful necklace with a tiny little blue topaz heart (Allie's birth stone for November) and a tiny diamond above the heart. His thought being, at some point down the road I could pass this necklace onto Allie. I love them both so much!
Monday, November 3:
Monday was a hard day for me/us. Allie had some screening tests done and they found that she was jaundiced and her bilirubin level was elevated (9 maybe?). They checked it again later in the day and it had gone up to 11.7. Then we had a visit from the lactation consultant to try to help us get breast feeding established, and that went only O0-K. The consultant was doused in perfume that was so strong. Her advice was only kind of helpful and she was kind of rough with Allie in demonstrating the proper technique for breast feeding. After her visit, Allie broke out in a rash all over her body and I'm convinced it was at least partially set off due to the massive amount of perfume this woman had on and then was touching Allie. I was furious and upset, because it's hard to see your nweborn baby with a red splotchy rash all over her body, who isn't taking to breast feeding well and who is jaundiced. I ended up crying a bit at this point in the day. Because of her elevated bili levels, Allie had to go spend the night in the Special Care Nursery under the bili blanket to try to correct her jaundice. Even though Frank and I were content at the thought of having uninterruped sleep that night, I was very sad that it was because of the jaundice. Needless to say I didn't sleep well at all and had nightmares all night - Frank even woke me up from one because I was wimpering and crying in my sleep. I remember that one. It was about Allie and it wasn't a happy one. I cried hard in Frank's arms at that point because I felt so broken and defeated, and exhausted.
Tuesday, November 4:
I shuffled my way down to the Special Care Nursery Tuesday morning to check on Allie - chillin in the bili blanket. They tested her levels again in the a.m. and I think they went down to 11.2 but then they tested them again in the afternoon and they went up to 11.7 again. Despite that, the Pediatrician said we could take her home and to just come into the office on Wednesday for her check up. I won't go on, but we had to have her poor little heel poked twice more after being discharged to check her bili levels. So sad, but she is recovering.
TIPS:
* They sent me home with some of the mesh panties and huge pads, some topical anasthetic cream called dibucaine (?) and a topical anasthetic foam called epi-foam. I'm not sure if they helped or not because I was seriously in so much pain. When the pads ran out I am now using Always Maxi Overnight Extra Heavy Flow pads. They are new, and they are awesome. They come in a dark navy blue packaging with purple and the pads are wrapped in purple plastic. We got them before the birth on a tip I read on thenest somewhere and I'm so glad we did. They come in a 20 pack and I had to send DH out for another 20 pack last night, that's how often I'm using them, but they really are great.
* Everyone has a different opinion on breast feeding your baby. And on whether or not to wake a sleeping baby. We were letting her sleep, and she would sleep for 4 hours+ a few times. Unfortunately I think when that happened she woke up starving and then was just plain angry and wouldn't latch. So now, we've made the decision to wake her up at 3 hours, and get her to eat. It's worked better so far. She still likes to scream at the breast every now and then before she finally settles into a good feed. But overall breastfeeding is going really well. My milk came in around Day 4 I think. I'm also pumping (Medela PISAdvanced, and I love it) and we give her a bottle of breast milk at night because for some reason this totally zonks her out. We're using the Born Free plastic (amber colored) BPA free bottles. So far, she likes them. We're also giving her a paci when she wants one, or to soothe her. She likes it. It's the Soothies brand. So far no nipple confusion.
I'm sure there are other tips/random thoughts I'm forgetting, but that is more than enough info for you all to chew on for a long time. If you've made it this far, congrats!