During the course of my pregnancy, I must have read/watched/listened to hundreds of birth stories. I couldn't get enough of them. I am endlessly fascinated by the powerful, raw, life-changing process of birth, and I felt like each story helped me manage my expectations. I thought I'd write mine down too, in case there is anyone like me out there wanting to know the gory details.
I was six days past my due date, and I wasn't feeling much of anything. I could tell the baby was very low, and moving a little less, but I wasn't feeling any contractions. The best secret I can conjure up to inducing labor is watching Jon Stewart. Also, a wintry mix storming in the night before Jason had two tests to take. At 11:15 PM in the middle of The Daily Show, I felt a pop and my water broke. EVERYWHERE. I called our midwives, who confirmed my suspicion there was some meconium in it, so we started packing up and getting ready to head to the birth center. (We chose to deliver in a free-standing birth center 40 miles from our home--that's how much I don't like/don't trust hospitals.) My adrenaline was sky-high...I was shaking, my mind was racing...it was one of those rare moments in life where time seemed to collapse into that single moment, and I knew I had to dive head-first into whatever lay ahead of me.
In the end, here are the main points I learned from all those birth stories:
1) Birth is different for everyone.
2) It's a journey you have with yourself.
3) There are ALWAYS unexpected things that happen.
Some people slowly ease into labor. They have contractions that start off mildly, have time to get used to the sensations, and feel a steady progression over hours or even days. I expected that to be my experience. WRONG. Not me! It's more accurate to say I was FEROCIOUSLY ATTACKED by labor. The 45-minute drive to the birth center was somewhat tolerable (bless Jason for getting us there in the middle of sleet and snow); I listened to my hypnobabies podcast and timed my contractions with my handy iphone app (like the good student that I am!). The midwife checked me when we got there, and I was 2 centimeters dilated, 90% effaced and the baby was at -1. I was glad I knew that didn't necessarily mean anything about how long I would be having this battle, because after that, my contractions took off like a steamroller and dragged me along behind them. They were only a few minutes apart and lasting 60-90 seconds.
The hardest part at this stage was this strange, sharp, fierce pain in my back and low abdomen that didn't go away between contractions. I expected to have at least some breaks between contractions. Literally NO ONE had described this awful pain! I told the midwife, and she wasn't surprised. "It might be the position the baby's in, or it might be your anatomy..." something about my pubic bone being really low...in any case, I took that to mean it wasn't going away. That pain made it so that I couldn't relax into the contraction like all my books had advised. I felt like I was hanging on for dear life. Nothing eased it. The only position that was even remotely tolerable was to be on my hands and knees, so I would do that and rock back and forth and moan and just keep telling myself,
Maybe I'm having a fast labor...maybe I'm having a fast labor...
The birth center was a wonderful environment. They left me alone when I wanted, and came in when I needed. I could move around, walk, shift positions, turn the lights low. I felt like I was going to puke, so the midwife put a little peppermint oil in a basin for me, which helped. I turned on a playlist of soft music I'd listened to every night before bed for years, and that also helped some. I kept thinking,
I don't know how people do this in a hospital! If I were strapped to a bed, poked and prodded, fluorescent lights and beeping machines everywhere, I don't think I could cope. At one point, I asked the staff, "Please, does anybody have any suggestions??" and they showed me a few things: pushing my hips together during a contraction felt pretty good. Eventually I asked if I could get in their tub. The midwife said they usually wait until four centimeters, because it can slow things down, but I clearly needed it.
Getting in the tub helped a little, if only for a change of sensation. My arms and legs were also getting tired from holding myself up, which was worrying me (I knew maternal exhaustion was the most common reason for a hospital transfer). The water helped with that. Once I got in, the midwife asked to check me again. She could tell with her special midwife tricks that I had progressed pretty far--and lo and behold, I was 7-8 centimeters! I was in transition--after only three hours! "Oh thank God. Oh thank God," I panted. She went to get a few things ready, and by the time she got back, I felt the unmistakeable urge to push.
I can see how vulnerable any woman is at this point the energies and words of those around her. I felt completely out of control and lost in self-doubt. I kept asking, "Are you
sure this is going okay? That I'm in the right position? That she's in the right position?" If someone had seemed concerned and told me I needed a C-section, I would have believed them. I'm glad I knew that self-doubt is normal and a good sign that the labor is almost over. I'm even more glad that everyone around me was so calm, confident, and encouraging. "Yes, yes!" they all said, "Your body knows what to do. You know what to do. If you want to push, then push!" I would whimper, "I can't do this!" and Jason would answer, "You ARE doing it!!"
The midwife talked me through the pushing stage beautifully. "At the peak of each contraction you'll feel the urge to push," she said, "and the first thing you'll notice is that it feels like she's coming out your butt." Ha, yes! That's exactly what it felt like! Luckily I did get longer breaks between pushing contractions, during which I would pant and moan and curse and maybe cry, but crying took too much energy. I kept thinking,
Some people say you go kind of numb during pushing or that it feels like a relief...nope! Not me either! I started off on my knees, then moved to squatting on my feet per one midwife's suggestion. Jason sat just outside the tub. When I felt a contraction coming, I'd reach up and grab his hands. He'd hold me up and I'd use the counter-pressure to help me push. I kept thinking,
God, I love how strong he is. I feel like we're doing this together.
I'd been warned about the "ring of fire" when the baby starts to crown. Yep, that's an accurate description. My favorite moment: at one point I asked the room, "Is there ANY way to make it burn less??" The midwife paused and answered, "Just to push her out." It's such a weird feeling, knowing you have to make things worse for yourself before they get better.
I pushed for maybe an hour. As she was coming out, no one touched me, they just shined a flashlight on her and talked me through it. After her shoulders were out, they told me to reach down and grab her. I grabbed my own baby! I brought her out of the water, and she screamed immediately. Her eyes were open. I could tell she was healthy and strong. At that point, everyone sprang into action. They got her cord unwrapped from around her neck and had me hold her correctly. I stared at her and kissed her and told her how well she had done, and that it was over. I heard Jason crying softly. I felt almost too overwhelmed to even cry.
They got me out of the pool and put us both in the queen-sized bed. She latched on and starting sucking immediately--a huge relief. But after the placenta was out, things got a little scary for me. I started losing a lot of blood. When I tried to get up, I almost fainted and my blood pressure was very low. One of the midwives wanted to give me cytotec, which really scared me--I had heard horror stories. Bless her though, she patiently answered my questions and laid out my options. "You can have cytotec, a shot of pitocin, or we can send you to the hospital for a transfusion." "Cytotec it is!" I finally answered.
No one ever told me about the horrible part where they push on your uterus over and over to check things out. That was INCREDIBLY painful. Even worse, huge clots were coming out, which scared me. They felt half as big as the baby was. After a while of some seriously agonizing manhandling, I finally had a crying spell. I was just so overwhelmed and scared and tired and hurting. After two liters of I.V. fluids, I finally started to feel more stable and the bleeding improved. All the while, the baby did great. I focused on how perfect she was and said my mantra/prayer: "I am safe; I am healthy; I am loved; I am protected."
She was born at 5:10 AM. At 2:30 PM, they let us go home (though I would have liked to stay longer, I must admit!). Recovery has been slow for me; that first week it was hard to get out of bed. I was anemic and felt weak and very tired. Now, I'm slowly feeling improvement. Reconnecting with the medical world (read: going to the pediatrician) was upsetting, and made me appreciate the birth center all the more. I love how non-traumatic the whole experience was for her. No one took her away from me. No one handled her impersonally. Nothing interrupted our bonding.
If anybody out there wants to do the natural labor thing, here are my suggestions:
1) Read
Natural Childbirth the Bradley Way by Susan McCutcheon. We didn't really use all the coaching stuff, but the breadth of information was very helpful.
2) Also read
Ina May's Guide to Childbirth by Ina May Gaskin. It's mind-blowing.
3) I watched "The Business of Being Born" over and over.
4) Get in touch with your higher power and surrender. :)
Now Coralie and I spend our days learning together, with me periodically overtaken by waves of gratitude for how beautiful and healthy she is. I am also extremely thankful for my village of help: Jason, our moms, friends and family have been amazing. I don't know how I could do it without them.