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Transcript of Birth

The following is a transcript of some of what was said during the birth (transcribed from our videotape). There was a lot of noise and a lot of people talking, so we couldn't include everything. But it gives a pretty good sense of the sequence of events and who was involved.

(It was a very exciting time. The baby's head was crowning and our nurse couldn't locate the on-call obstetrician. Then the doctor who pinch hit practically let Mike deliver the baby!)

Mike (ThatDad): You're doing so good, Linda.

Holly (our doula): Good. He's down there.

Mike: He's poking out now.

Holly: You're stretching like you've never stretched before. It's all right. It's all right. It's scary but it's all right.

Linda (ThatMom): It hurts like hell!

Holly: I know, but it's all right.

Linda: Doesn't it hurt the baby? How can he breathe like this? [Worried about the baby being stuck in the birth canal.]

Holly: No, he's not breathing yet. He's still getting cord blood. He won't need to breathe until he's out into the air. It's OK. It's OK.

Juliet (nurse): She should hold for now. She should hold for now. [Wants Linda to wait until a doctor arrives.]

CONTRACTION

Holly: You want us to tell that baby to hold on? [Laughs.]

Juliet: Well... just don't push so aggressively.

JULIET GETS ON PHONE

Juliet: Hi, Ginger. It's Juliet again, in ten. We're getting ready. [Unintelligible. She’s trying to locate the doctor.]

Holly: There he is. Just do some little pushes. We're seeing the light at the end of the tunnel, big time. Breathe.

ANOTHER CONTRACTION

Juliet: Hi, Cheryl. Did you get ahold of him? This is Juliet in ten. [Drowned out by moans.]

Holly: Just let it stretch, let it stretch. It's all right.

Juliet: Hi, Alice. This is Juliet in ten. If he doesn't call back in the next... [Drowned out by moans.]

Linda: Where's Dr. Chinn?

Juliet: Well, we're waiting. We called Dr. Shahan. Dr. Shahan is on call here.

PHONE RINGS

Juliet: Hi, this is Juliet. Thank you.

DR. SHAHAN WALKS IN

Dr. Shahan: Hi, I'm Simon Shahan, I'm your new doctor. Seven and a half [his glove size?]. Hold on. Breathe, breathe, breathe... Can you come down a little bit more, do you think?

LINDA MOVES DOWN

Dr. Shahan: Is this your first one?

Linda: Yeah.

Dr. Shahan: Really? Wow. Amazing.

Mike: Do I have the option of catching him here?

Dr. Shahan: Catching him? Well, what's your training? [Laughs.] I have trouble catching them. You want to catch him? Tell you what... Give him gloves. Give him size eight gloves. I'm going to talk to Shinfield [?] about this. Did you discuss it with someone before?

Mike: No.

Dr. Shahan: You are really putting me on the spot. [To Linda:] No, don't push, don't push. Get me some Betadine.

Linda: You're not going to do an episiotomy, right?

Dr. Shahan: Are you allergic?

Linda: No. I don't want an episiotomy, though.

Dr. Shahan: If you need one, I'll give you one. If you don't need one, I won't give you one. OK, Lift your bottom up. This is your first one, this is my four thousandth one.

Juliet: Want some Betadine?

Dr. Shahan: Yes. Are you allergic to anything?

Linda: I don't think so.

Dr. Shahan: OK, good. Let the tissues stretch. Any medications on board?

Juliet: Three doses of Fentonil. Last one at 4 o'clock.

Dr. Shahan: Super. [To Mike:] OK, see how stretched the tissues are? What happens is, it tears like this [points below] but in her case, it's going to tear in these two directions [points above]. And there are two blood vessels here that supply blood to the clitoris and all of these tissues. I'm going to let you be involved in this, but, in terms of supporting the tissues in the perineum, I'm going to do that. See how tight the tissue is up there? The baby has another two inches to go. Let me have a local. And a syringe. [To Linda:] You know, I really do want to cut a small episiotomy for you. I want to prevent tearing around the urethra and the clitoris. Breathe. It will be nice and neat and will heal nicely. You're doing fine, you want the tissue to stretch. The baby sounds pretty good.

Holly: [To Linda:] That's good.

PHONE RINGS

Juliet: Hi, this is Juliet. No, Dr. Shahan is here. Can you ring him again? Thanks.

DR. SHAHAN INJECTS ANESTHETIC

Dr. Shahan: There's not epinephrine in there, is there?

Juliet: Epinephrine?

Dr. Shahan: There's not, right?

Juliet: No.

Dr. Shahan: We'll let that diffuse a little bit. [To Mike:] I'm going to cut an episiotomy to take the presure off of this area. And to allow the baby to come out. Now I want you to support the perineum, because you don't want the tear to go to the rectum. Like this. But let me cut it first.

DR. SHAHAN CUTS AN EPISIOTOMY

Linda: Ow!

Dr. Shahan: Did you feel that?

Linda: Yes!

DR. SHAHAN INJECTS MORE ANESTHETIC

Dr. Shahan: Support the perineum like I showed you [Mike applies right hand]. Take your left hand like this. [Mike puts other hand on top of baby's emerging head.] [To Linda:] Go ahead and push.

Linda: Ow, ow...

Dr. Shahan: Spread your knees apart. Come on, come on...

MIKE GUIDES BABY'S HEAD OUT

Other Nurse: Just push right through it.

Dr. Shahan: [To Mike:] Support the perineum. [To Linda:] Knees apart, knees apart. I need her knees on her shoulders. All the way back.

THE REST OF THE BABY COMES OUT, MIKE CATCHES IT

Juliet: There you go. Here he comes. Good job.

BABY CRIES

Dr. Shahan: [Joking to Mike:] Can I cut the cord? No, you can cut the cord.

HANDS MIKE THE SCISSORS

Other Nurse: He's pinking up really good.

DR. SHAHAN TELLS MIKE HOW TO CUT CORD, MIKE CUTS IT

Dr. Shahan: Put a warm blanket on Mom.

Linda: Oh my god. Oh my god.

MIKE TRIES TO LIFT BABY TO LINDA THROUGH SQUAT BAR

Dr. Shahan: No, not underneath. Go around. Congratulations. Do you want your honorary obstetrician certificate?

Mike: [Laughs.] That was my first. Thank you.

Other Nurse: Is it a boy or a girl?

Linda: Well, it better be a boy.

Dr. Shahan: [To Mike:] Don't tell Dr. Chinn you did that. Or I'll get fired.

Mike: It'll be our little secret.

Other Nurse: Dad, I'll let you in here in just a second. Let me just get him nice and pinked up. He's a boy, all boy. I'm going to turn him this way. I want him to cry a little more to open up his lungs. Get that expansion going here.

Linda: Why is he so purple?

Other Nurse: Trying to get his lungs some air.

Dr. Shahan: What's his name?

Mike: Griffin. I told the doctor his name, Linda.

Dr. Shahan: He had to tell me. It's required.

Mike: It was a little trade we had going here.

Other Nurse: I'm going to give him a little oxygen. He's just not pinking up enough. Let me just take him over here.

TAKES BABY FROM LINDA’S CHEST TO EXAMINING AREA

Dr. Shahan: Let's get him warmed up and dressed up. [To Linda:] You are very sensitive down there. Now I want you to come down a few more inches. No, keep your legs up there [on the squat bar]. We need them up there. Now come on down. OK, great. I'm going to put this [towel] on your tummy and don't want you touching it. I'm going to get your placenta. The placenta wants to come out.

Linda: Oh.

Dr. Shahan: We have an IV going?

Juliet: Yes.

Dr. Shahan: [To Mike:] Want to watch this?

PLACENTA COMES OUT

Mike: Oh, my.

Dr. Shahan: OK, pitocin.

DR. SHAHAN MASSAGES LINDA’S TUMMY, YOU CAN HEAR BABY’S MOUTH BEING SUCTIONED

Dr. Shahan: Nice and easy. There's nothing inside. The placenta is out.

Mike: [To Juliet:] We'd like to take the placenta home.

Juliet: Sure, yeah. That's fine.

Dr. Shahan: Get some more towels.

DR. CHINN ENTERS

Dr.Chinn: Did you try my pager? For goodness sake. I've been waiting all day for this.

Dr. Shahan: Small medial [?] episiotomy, very routine.

Dr. Chinn: I really apologize. I've been here all day waiting.

Dr. Shahan: I was surprised. But I'm across the hall, so I got here first.

Dr. Chinn: I want to know why no one called my pager.

Juliet: OK, I will talk to [unintelligible].

Dr. Chinn: I apologize.

Linda: It's OK.

Dr. Chinn: It's not OK.

Mike: At least he [the baby] felt someone's hands down there.

Dr. Chinn: We'll try and make it up to you by putting this back together nicely.

Linda: OK.

Juliet: They said they paged you.

Dr. Shahan: What's your pager number?

Dr. Chinn: [XXX] 1414

PHONE RINGS

Dr. Shahan: This is Dr. Shahan. Who is this? Steve from Admitting?

Juliet: I'll get it. Hi, this is Juliet.

Dr. Shahan: [To Mike:] I'll have to confiscate your tape. [To Dr. Chinn:] [XXX] 1414? That's a great number.

Dr. Chinn: That’s how I remember it.

Juliet: Born at 17:45.

PAGER BEEPS

Dr. Shahan: I put in 1234567. Yeah, I get that all the time, too. [To Linda:] Well, congratulations. You sure this was your first one?

Linda: Yeah, I'm sure.

Dr. Shahan: You did great.

PAGER BEEPS AGAIN

Dr. Shahan: Well, I was happy to do it. You were super. Dad was a big help, too. He got to cut the cord. And then learn about supporting the perineum and all that stuff.

LINDA LAUGHS

Other Nurse: He has some excess fluid. He still has some of it down there. I'm trying to change his position around, and trying to help him get rid of it. He's burping a little bit. Using some of his accessory muscles.

BABY STARTS CRYING LOUDLY

Other Nurse: Now that's what I wanted him to do. There you go, there you go. Yes.

There are more pictures from after the birth.

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