A Birth Story

As you may know, I took a hiatus from this blog to have a baby.  Thanks to Beth-Anne, Marcelle, Nathalie, and guest bloggers for making that possible.  As for my return, I thought maybe a birth story would be in order?  Here it is.

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I was convinced the baby would come early, but I was wrong.  Although  my other two boys came early, and I had been having some pretty intense contractions for several weeks, I watched with surprise and then dismay as my due date came and went.

So, as surely lots of women have done before me, I tried to encourage the baby to come by doing things I don’t ordinarily do.  Like spending several hours with a three year old hunting for drills and extension cords to install curtain rods (one package had been opened and was missing a piece of course), and then hemming the curtains and hanging them up.  More productively, I went to acupunture twice.  These appointments spurred on some regular contactions at night, but spaced out again when I lay down.

Then on the sixth day after my due date, my midwife Marlene checked me, and I was 3-4 centimetres dilated.  This buoyed me up a little; at least the weeks of early labour had made tangible results.  I was still having contractions at this point, enough for Marlene to question the cleverness of my plan to drive myself to my third acupuncture appointment.  But I was determined to go and felt it would be fine.

I arrived at the acupuncture office only to immediately experience a powerful minutes-long contraction in the waiting room.  Meaning I was propping myself up on one arm while sitting on a chair, unable to move, eyes closed, head down, trying to breathe, while the acupuncturists politely pretended to ignore me.  Then the longest contraction ever ended  and I hemmed and hawed about having at least an acupressure treatment but worried aloud about not being able to drive home or even walk downstairs to a cab, when finally the acupuncturist intervened and said “I think labour is imminent” and sent me home.

I managed to drive myself home, pausing for contractions, which were about five minutes apart, and felt like labour might actually be starting for real.  I decided to take a nap, which is interesting to me in retrospect, since I knew that doing this would likely slow the contractions down.  I think that maybe, having tracked Labour down and finally gotten a glimpse of her glory, I wanted to recede from her just a little bit to gather my strength.

For thirty minutes I slept.  I know this because for three ten-minute intervals I glanced at the clock after being woken from contractions that were not like the ones I’d had before.  These contractions, ten minutes apart or no, prompted me to call my doula Crescence and ask her to come over.  I had earlier called a couple of times but had hesitated to ask her to come because I wasn’t sure whether labour had really started.  But I wasn’t hesitating anymore.

Crescence arrived shortly afterward and I greeted her excitedly because by then I knew labour was coming.  The contractions were steady and frequent, and I was already using the breathing and voicing tools she had shown me during my 20 hour birth with my second son Nathaniel.  During that birth, Crescence and I worked our way to a place of significant pain relief and joyfulness during active labour.  It was a profoundly moving experience, and I was looking forward to getting to that place for this birth too.

But for this birth, I only remember talking to Crescence between contractions maybe three times.  Then I was draped over the birthing ball, head hung low, using all my focus to manage the contractions.  No more talking.

Soon, much sooner than I thought, I was asking for the birthing pool.  It seemed to take ages to fill and I got into it before it was full.  It was August, the windows were open, and the midwives were telling my husband Ben the water in the pool was too cool.  But I felt so hot, even in the water.

And then Marlene arrived.  I believe I lifted my head for her.  She checked me, and Crescence gave a gasp of pleasure at hearing I was 8 centimetres dilated.

Shortly after that, the back-up midwife arrived, signalling that the baby would soon be born.  I was dimly aware of her presence, but would not be able to acknowledge her until after the birth.

I knew, or somehow felt, that I was fully open but I also felt stalled and had no urge to push.  Marlene confirmed that I was fully dilated but my waters had not broken.  She told me that she could speed up my labour by rupturing my waters if I got out of the pool.  I remember that she repeated herself when I made no answer.  I had heard her but couldn’t speak unnecessarily, and was deciding what to do.

It’s not that the pool was providing much pain relief, because it wasn’t.  But I knew moving would really, really hurt.  Earlier, I had shifted my left hand to reach a handle in the pool to brace myself more effectively.  It was perhaps a foot away, but it took me the length of two contractions to inch my hand over.  The thought of moving out of the pool seemed enormous, and I doubted whether I had the strength to do it. Then another wave of contractions came searing along and the thought of many more of these convinced me to speed things along.

Until now I had been breathing and voicing my way through the contractions with a certain calm.   There was even a period of time, perhaps half an hour, that Ben described as serene, when I laboured in silence and the bedroom holding five people was still, but for the warm August breeze blowing through the window.  The contractions were intensely painful, and I was suffering with some of them, but I was able to integrate them.

Moving myself out of the pool changed this.  I heaved a leg over the side of the pool, gracelessly, and stumbled onto the bed.  Pain was everywhere.  Marlene broke my waters.  I was not on top of the contractions anymore.

Turns out I’m a screamer.  Crescence told me to lower my voice (she later told me that’s what her midwife told her when she was giving birth).  Crescence said that if I kept screaming in high tones, I would hurt my throat.  I remember thinking, “My throat?  Who cares about my throat!”

When I did lower my voice, though, it was more like roaring, and was actually helpful in pushing the baby out.  The roaring noises seemed to engage certain parts of my body (the diaphragm, maybe?) that helped me to bear down in the continued absence of any urge to push.

And then Marlene was yelling at me to move my leg, and when I finally heard her and did it, the baby was born. 8 pounds, 9 ounces.  He was healthy and crying and almost immediately suckling at the breast.

Three hours and ten minutes.  Six minutes of pushing.

My sons Sam and Nat were invited into the bedroom immediately after the baby was born.  They were curious and excited.  With his dad’s help, Sammy cut the cord.  They were untroubled by anything they heard or saw because no one else in the room was.  We had also prepared them by reading Hello Baby, which is a beautiful book about homebirth from the perspective of a young child.

It’s now been eight weeks since the birth.  I’ve had some time to think about it.  While I haven’t had any great revelations about it, I’ll share what thoughts I have.

In many ways, the birth was exactly what I hoped it would be ~

~ It was a healthy, positive experience that happened at home.  Although I would have loved some pain relief, it never crossed my mind to leave home and go to the hospital.

~ It was a family event.  The kids shared in the preparation, the excitement, and were home  at the end of the labour.  They were present for the birth, and were able to experience it as a normal life event.  My mother was also there, both helping with the children, and then enjoying her youngest grandchild in his earliest moments with us.

~ I had excellent support, not just with my husband and mother, but with the labour team.  In addition to their medical expertise, the midwives were kind.  After the birth, I was encouraged to go to the washroom and shower.  As I stepped out of the shower, my mother watched Marlene kneel on the floor before me to help me step into my clothes.  My mother, once a nurse-midwife in Malaysia, observed how caring the midwife was and noted that a doctor would never have done that.

– Post-partum care was incredibly good.  I had trouble breastfeeding, and the midwives made ten home visits to facilitate what is now exclusive breastfeeding.

~ I was as open to and prepared for the birthing process as I could be.  I like to think this contributed to the speed of the labour.

~ Recovery from the home birth was quick and easy.

~ I had a lot of autonomy in deciding how the birth process unfolded.

In other ways, the home birth surprised me ~

~ I thought that in this birth I would be able to re-enter that precious state of relative comfort during active labour that I had experienced during Nathaniel’s labour.  I forgot that each birthing experience, like each child, is unique, and that there is no pattern to follow.

~ The birthing pool didn’t help nearly as much as I thought it would.  It might have taken the edge off… a little.

~ It never occurred to me that I would have such a fast labour.  Its speed probably contributed to its intensity, and perhaps explain in part why the pain relief strategies I hoped for could only help so much.

~ It also never occurred to me how wild the process could be at the end.  Wild in the true sense, a kind of animal process.  I didn’t gently exhale the baby out, like I’d seen in some youtube videos.  I’ve come to realize that while those experiences exist, for most of us, birthing a baby is squarely painful, and that the energies of aspiring natural birthers are better spent dealing with that reality than trying to find ways to evade it.

If I were to have another baby, I would homebirth again, and be just a little bit wiser.  I noticed that the more experienced women around me, the ones who haven’t been sequestered from the natural processes of life the way I have, displayed some of this wisdom.  My mother, for example, listening to me birth the baby, was not astonished by my cries as I was but rather pleased they were so few:  “I only heard you scream six or seven times,” she said.  “Was there more?”

And a week or so after the birth, I had an opportunity to review Marlene’s labour chart and notes.  In the comments section, she had  written simply, “Beautiful homebirth”.  My eyes lingered on the words.  So it was.

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On this night…

 



six years ago, I lay in a narrow bed in a room with three other pregnant women. I was 37 weeks pregnant, and being induced. My son had been diagnosed as intra-uterine growth restricted in my 22nd week. I’d been on bedrest for four weeks for signs of pre-term labour and to conserve my energy. As we understood, the placenta, that vital organ connecting him to me, was no longer working as it should. It was old before its time. Blood was no longer flowing freely between it and him, and it was time for him to arrive. To complicate matters, the hospital’s neonatal intensive care ward has been closed to new patients because of a Norwalk virus outbreak. If he is born too small, or if he requires intensive care, we have no idea where he will be sent. Out of town, certainly; out of country, quite possibly.

We try not to think about that, he and I. His father and I send him entreaties of love and plumpness. Mere ounces matter, now.

He was so quiet, curled inside me. So much quieter than his brother, the nocturnal acrobat. I gave my belly an occasional nudge. Occasionally, I got a nudge back: gentle, noncommittal. From the bed across from me, a colossal snore. From beside me, the hushed voices of a woman on the phone. I remember her, remember that her water had broken around her 26th week. Somehow, impossibly, she kept leaking fluid, but stayed pregnant, 27, 28, 29 weeks and onward.

The night trickles by. In a room with three other women, someone is always there — nurses checking blood pressure, fetal tones. One woman wears flip-flops; her cadence is distinctive: flipFLIPflop…flipFLIPflop. She is pregnant with twins and too weary to lift her feet so late at night. Be quiet, all of you. I want to scold. I have important work to do tomorrow. But arguing seems to require all the energy I’m trying to horde. I stay silent.

Morning arrives with the news we’ve dreaded. The NICU is still not open. My contractions are ramping up. He’ll be arriving today. My husband and I walk endless loops of the halls, down one side, out the other, until I proclaim that there is nothing I need more than to just lie down. Now. I ask for drugs; the uncertainty of the situation takes away my confidence. But the one bolus gives me all I need, and I settle into the rhythm of the contractions, feeling him slide down, descend. I hear the doctor ask me to reach down and touch my baby, find his head, but I’m concentrating on moving him out of me and my hands miss the mark, to much laughter. It is only then I realize that I’ve been joined by a cast of thousands: doctors, neonatologists, nurses. I welcome them to the party.

And then..another push, and he is born. He is yelling already. The doctor lays him on my chest momentarily, and I commit him to memory. He has his great-grandfather’s feet and my hands. And then, to be assessed and weighed. Possibly to be whisked away, but he is weighed again: someone had read the scale incorrectly. Someone has converted grams to ounces incorrectly, and my boy gains in stature at the stroke of a pen. Ounces matter.

Happy birthday, Sebastian, our little big guy.