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I wore a nighty (a t-shirt style one, no buttons) until I had an epi when they put me in a hospital gown. I got annoyed with anything touching my skin while I was pushing and I was hot and bothered so just ripped the gown off and was naked. With all the comotion going on, no one had noticed that I'd taken everything off. Even to this day my DH can't remember me being naked when I gave birth and DD is 14 months old now.
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I went naked. Easy. They did try to make we wear the hospital gown, which I did wear for a very short while, but then I took it off because I just couldnt handle having anything touching me.
