157 | Amy Gerard, Three Vaginal Births, Polyhydramnios, Cholestasis, Midwifery Care

Feb 19, 2020

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In today’s episode I chat to Amy Gerard who discusses her three pregnancies and births with the honesty and humour that she’s so well known for on instagram. Amy and Ryan had only been dating for seven months when they unexpectedly fell pregnant with their daughter, Charli. Amy suffered severe nausea, migraines and nosebleeds and later into the pregnancy developed Polyhydramnios; a condition that creates excess amniotic fluid. As a result, Amy gained 30kg and when her waters broke at 37weeks, she lost 15kg in fluid overnight.

After going into the birth centre for a stretch and sweep, Amy returned home to labour but whenever she called the hospital to update them on her progress, they encouraged her to stay at home and come in the following day. She admits she felt really unsupported and was understandably upset. Eventually she heeded the advice of her mum who encouraged her to present to the birthing suite. At this stage she was stressed and anxious and not coping with the growing intensity of her contractions. “I had no idea what to expect…I had no idea what was happening and where I was at. I had fear of the unknown and it had gripped me,” she says.

After requesting an epidural, the anaesthetist had to administer it three times before it worked as Amy’s excess fluid made it very difficult to find the exact spot. Once she was pain-free she happily laboured for a few hours till she reached full dilation and when the epidural started wearing off she began pushing. Second stage took roughly 40minutes and Amy admits that she dug deep to access energy that she never knew she had. Charli fed well from the start and whilst Amy felt like she had been hit by a freight train, she returned home after two nights and settled well into new motherhood. However, she admits that the emotional rollercoaster of the first few weeks took her by surprise; she was teary, anxious and exhausted and perplexed by the fact that her new baby didn’t come with a how-to guide.

Eleven months later Amy and Ryan got married and she fell pregnant soon after with baby Bobby. Bobby’s pregnancy was a very smooth ride and apart from six weeks of antenatal depression during her second trimester, Amy enjoyed the whole experience. However, late in her third trimester she started to get itchy hands and feet, so much so that she would scratch at her palms with a hairbrush and brush her hands against brick walls. She casually mentioned it to her midwife at her 37weeks appointment who sent her straight for a blood test. The results came back the following day and her bile acid levels were incredibly high; she was diagnosed with Cholestasis and induced a few days afterward.

“The drip was administered and my waters broke and then I closed my eyes and lay there, listening to my music and focusing on my breathing. Ryan was rubbing the bottom of my leg and as the contractions were building I completely zoned out and thought about the lady in my calm birth classes who taught me about breathing techniques,” she says. Her midwife encouraged her to focus on opening her bottom with each exhalation and before long she felt like she was ready to push. “I was like: Yes, I did it! I pushed him out in 14 minutes! From when the drip went in to holding him in my arms was 90 minutes. I honestly felt great!”

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