Niles: They've got some serious hardware here, by the way. I'm impressed with their hardware.
Jackie: I can't believe this is happening.
So, I'm actually an ob-gyn. I deliver some of our babies here at this same hospital. I've never actually gone through it myself. I've delivered hundreds of babies. I've helped hundreds of women through this process.
Oh, it's like a vise.
Niles: I'm a documentary photographer and filmmaker. I've kind of a background doing a variety of film roles.
Jackie: It's the worst timing possible.
Niles: Yeah, nobody's here.
Jackie: My mom flew to Las Vegas today to go see a Cher concert thinking that I was not gonna be in labor until Sunday. And now my mother-in-law, who's in Walnut Creek, has come down with vertigo and can't be upright.
Niles: In about 45 minutes, it'll be the full moon.
Jackie: Yeah, so it's just crazy, her timing.
Nancy: I'm gonna do acupressure points here. I'm gonna get the massage oil out, and do her hips during a contraction, do these hip squeezes that we do. So I have some essential oils. They give out a great fragrance here and relax Momma. This is lavender. Breathe easy through the contraction. It's like a wave. Just breathe through that peak.
Jackie: I'm getting nauseous.
Niles: Do you want something?
Jackie: I need to throw up.
Nancy: Give her some peppermints after. She's good. Smell this.
Peppermint oil – it helps upset stomach, nausea. It can stop vomiting.
Jackie: That was like, whew, that was instantaneous.
Niles: Wow, look at that. That did the trick, didn't it?
Jackie: Planning for an epidural? Yes. I wanna enjoy the last few hours. I wanna enjoy her coming out.
Niles: When you call for the epidural, obviously, that's the anesthesiologist that has to come?
Niles: Look at the power of the epidural, Hon. Now you're just all smiley and glowy.
Jackie: And now I can actually tell patients how it feels like.
Dr. La Folette: Good morning. It's five, you're having a kid today.
So my plan is to check you and break your water. What do you think? Are you ready?
Okay, so to give you an idea, bag of water's almost all the way out, okay? There's very little cervix anywhere. So here comes the flood. You ready?
Dr. La Folette: I don't need anything, but I'm about to, I'm telling you, there's gonna be a flood, guys. Here we go. Here it is. I told ya. Nice work. Okay, here we go. So that is nice clear fluid, and the baby is right here. Perfect. And I feel no cervix. Yeah, you okay?
Jackie, you have at least an hour, probably. You might have two if you wanna labor down. Certainly, we'll reconvene at 6:30.
So imagine what's happening, right? So the head is basically, it's under the symphysis, right? But you really are coming this way first. And then at the end, you'll see the baby come this way.
Niles: Oh, right, right.
Dr. La Folette: Right? So that's why I want her head to be low. Okay, ready? Go. One. Two. Three. There's head. Four. Five. Six. Keep coming. Seven. Eight. Beautiful push, Jackie! Nice job, all right, breathe. Yeah, like you're rowing a boat. Here comes her head. Move her out. Go. Look at that. Fantastic. Right to me. You got it. Nine. Beautiful! Get enough air, enough air. Diaphragm to perineum. Go.
Nancy: Right there, right there.
Dr. La Folette: Beautiful!
Jackie: It's a piece of cake!
Dr. La Folette: Yep. Piece of cake. Absolutely, a piece of cake. That's the push. She's moving down onto my hand. Nice job. Add to it, add to it, add to it, add to it. There it is. Don't think about it, okay Jackie? I want you to be it. This is why we're on the planet. Okay? You're doing a great job.
Jackie: Oh, I see the hair!
Dr. La Folette: Yeah, you bet you see the hair! As you run out of air, move her out.
Nancy: Great work, Jackie. Come on Jackie, you see her.
Dr. La Folette: This is it, Jackie.
Nancy: You got it, come on, Jackie.
Dr. La Folette: Come on, no frowny faces. I want push, push, push, push, push, push, push.
I officially am putting on my catcher's mitt, which they happen to have in evening wear, as you can you see, carefully designed for a doctor that is a little bit smaller than me.
Niles: It's very stylish. It's the Smurf marshmallow man.
Dr. La Folette: So that was your best pushes. You are almost done.
Yes. I know. It's okay. Ring of fire, push through it.
Nancy: Feel it, feel it.
Woman: Don't push on face, push down, more.
Dr. La Folette: Down, down, down, down, down, down, yeah. It's all right. Little pushers.
Woman: Just bear down, ease it, ease it down.
Dr. La Folette: She's not going back up, we got it. You're okay. Go, go, go, go, go.
Nancy: Come on, Jackie. Jackie, you got it.
Woman: That's it. That's it. Keep going! Keep going!
Dr. La Folette: Hit me. Hit me down here. Hit me, hit me, hit me.
Woman: Eight. Ten.
Dr. La Folette: There it is. Deep breath in. She's coming. Breathe, breathe. She's coming, she's coming. Let go of that camera. She's out, she's out. Meconium, you guys, meconium.
Dr. La Folette: Umbilical cord, umbilical cord.
Woman: Push it. Push it.
Dr. La Folette: I'm gonna get the umbilical cord. Push, babe, push.
Woman: She's about to start to cry.
Niles: Oh, hello, Sweetie. Grab where?
Woman: Okay, you need to deliver this baby. Let's do it.
Dr. La Folette: I got her, I got her, I got her. Easy, easy, easy. Okay, you hold her to her. Now, watch out for the umbilical cord. I got her, I got her, I got her.
Niles: Aw, there she is, sweetie.
Woman: I told you, she wants to cry.
Dr. La Folette: Watch out, watch out – the cord. There she is! Okay?
Niles: Yeah. That was great. Cord was in the way. Yay!
Dr. La Folette: So just a little meconium. Look at her! Look at her! Look at her!
Niles: Oh, she's beautiful. Oh, Sweetie.
Dr. La Folette: Congratulations, everybody.
So let's review. The umbilical cord was around the neck. We left it around the neck. We then brought her out, and then un-lassoed the cord. Her cord's still attached, she has lots of room. Okay? So now what I want you to do is you're gonna cut between them. You have the scissors in your hand, right? So you're gonna cut here, and then she's gonna go that way to Jackie, right? Because then she's detached.
Jackie: It's not gonna hurt her, love.
Niles: She's so pink.
Dr. La Folette: Yeah, I know, "she's so pink" is right.
Woman: Good! It's how we like it.
Jackie: You're hairy, Mak.
Dr. La Folette: There she is. Now she's yours, okay? Now she's yours, okay?
Niles: Wow, look at that. That's amazing.
Dr. La Folette: Now, I gotta look at the perineum and see what we have for tearing, and we're done. Fantastic, right? All in a day's work.
Nurse: 98.1 for temperature is nice. I'm gonna just do a quick set of vitals, check her sugar, and then she can go right back to Mom.
Niles: Sure, great, great.
Jackie: It's already changed me, just, knowing how everything feels. What it's like to be a patient, just knowing now how it feels to be in labor, which I had never known before. A lot of it is kind of disbelief that she's already here. We've been waiting for her for so long, and now that she's finally here, I can't believe it.
Niles: It happened so fast.
Jackie: It happened so fast.
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