So here we are.
In case you didn’t know, my labor with Miles was induced at 40w4d due to pre-eclampsia. We had planned to birth at the Auburn Birthing Center with zero interventions, and knew that if I felt like getting in and staying in the tub, I could have a water birth. And if I didn’t feel like it, I could stay out of the tub and labor and birth however and wherever in the center I wanted. We arranged for a close friend to be with us and provide support for Norah, giving Norah the option to be with me when the baby was born. We planned for my sister and Daniel to provide labor support for me as they had during my previous labor, and knew that we could count on my midwife for support as well throughout the labor. We bought champagne to take in with us and packed our birth bags to align with what the birthing center provided. We planned to go home hours after the birth, our whole little family intact and together.
We didn’t make it to the birthing center. Instead, I was admitted to DeKalb hospital and labor was induced using cytotec. I was strapped to a fetal monitor the entire time I was there until the baby was born, which limited my ability to move how and where I wanted. Norah didn’t make it to the hospital in time for the birth, and neither did our friend Carissa. My sister made it, but only marginally – she arrived as Miles’ head was delivered. Even my midwife didn’t make it there much before the birth, and labor support was left entirely up to Dan until shortly before Miles was born. I wasn’t able to leave the hospital early at all because my blood pressure wouldn’t stabilize. And so, Norah ended up at my parents’ house, away from me, for 2 days. The last night Daniel went home to be with her, and I was left alone at the hospital. The nurses came and went every few hours, and eventually put a lot of pressure on me about nursing because Miles wasn’t interested for about 24 hours. I was brought formula samples and told he would need his blood sugar taken if he didn’t eat soon enough, although I wasn’t anywhere near worried about it yet and reacted almost violently to the formula ‘gift’ package. The food we brought went bad out in the car because we couldn’t figure out how to keep it refrigerated at the hospital and we never got to bring the champagne in to celebrate.
We did not have the birth we had hoped for.
And yet, I have a lot that I’m still processing and that I’m really sad about.
When Norah was born, I came home and told all my friends my birth story. I shouted it from the rooftops. This is what I had done – this is the awesome birth I had achieved. I had chosen a good care provider and a supportive place to birth and I had gone in there and done it on my own terms. I was so empowered by Norah’s birth. I didn’t know exactly what labor was going to be like, but I knew I could do it. I knew I would get through it, and I did – and what’s more, I did it how I needed to, how I wanted to, with the support of the people I wanted there.
On Miles’ birthday, I want to be able to think back on his birth and to feel good about it. I want to tell him the story of his birth without ugly feelings coloring it. I want him to have a story of his own that he can hear each year and know how much it meant for us to wait and hope for him, and to anticipate his birth, and to know how he finally made it here and how overjoyed we were to finally see him.
And so here we are.
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I don’t really know where to go from here. I’m 3 pages in and I realize I haven’t actually said anything, which kind of makes me wonder how in the world I ever made a living writing. *shrug* I suppose maybe I should talk about how I felt about the induction and about not getting to use the birth center (and risking out for future births), and maybe about the things at the hospital that upset me. I don’t know. It’ll probably all get really jumbled, but I suppose that’s ok.
First off, I guess I should say that I’m surprised at how little it actually bothers me that I didn’t get to use the birthing center. It would have been a very nice place to birth, and it would have allowed me to have a water birth, but it really isn’t the end of the world not to have been there. I’ve realized that the physical location of the birth isn’t all that important to me in the grand scheme of things, and since I didn’t find the tub to be quite as magical as it supposedly can be for Norah’s birth, I really didn’t even miss it this time around. When I think of what bothers me about the birth, it’s never that I wasn’t at the birth center or some specific location. It’s the things that happened at the hospital with this specific birth. Norah was born at the same hospital but under very different circumstances, and I have very different feelings about her birth. Yes, they happened at the same place, but the things that happened during the birth were very different. So yea, it sucks that we didn’t get to go to the birthing center, but I think I’m pretty much over that.
Oddly enough, I’m really bothered about having risked out of the birthing center for future births. I don’t even know if I will have another baby (Puff scoffs at this: “Of course we’re having another baby!” Me: “Uh… we are?”), so this makes even less sense. I don’t know why that bothers me more than not having been there in the first place, but it does. There’s something about it that just makes me feel left out, I guess, like I’m no longer part of the club. It’s really stupid, but it’s there. If we do have another baby I will have to choose between a hospital birth and a home birth. While both of those are perfectly valid choices, neither one is my first choice. A birthing center is the absolutely ideal choice for our family, but is no longer an option for us. That makes me sad.
For instance, it upsets me a lot that I didn’t get to go into labor spontaneously and I didn’t get to labor at home with my family at all. I was relying on medication to cause me to go into labor, and that felt really wrong to me. Lying in that hospital bed all night just waiting for something to kick me into labor was awful. Just lying there, doing nothing, waiting…… feeling like I should have been able to handle this somehow, that my stupid body should have figured out how to go into labor on its own. I couldn’t help but feel like an idiot for not doing more to encourage labor earlier. I’d been having contractions off and on for weeks, and every time they kicked in, I’d just go to bed and wait for something to happen. I didn’t feel ready for the baby to come, so I did nothing at all and figured I’d labor when my body was ready. Wrong-O.
Now, clearly I do not have psychic powers, so it was really silly for me to have been upset with myself about this. Not to mention pointless and unhelpful. Besides, if Stephanie is right and the reason why I developed pre-eclampsia is because of Miles’ super long umbilical cord that he somehow managed to get wrapped up around his neck four times (ninja baby, practicing his moves!), it’s reasonable to believe my body would have done something insane at some point anyways. Maybe I’d have gone pre-eclamptic a few weeks earlier, or maybe something scary would have happened during labor. But probably something.
So anyway, I didn’t get to go into labor on my own and that’s upsetting to me. I didn’t get to labor at home, either, which is also upsetting. I guess I envisioned this whole labor process as something that started out fairly tame at home. I envisioned my family caring for me at home for awhile – D taking good care of me and Norah being there, too. I figured we’d call Carissa fairly early to come and help us with Norah, and that we could all be at home together for awhile. I really wanted that time at home and I didn’t get to have any of it, and that makes me sad. There was no part of my labor that was secret and private, and my family’s own little bit of the story. Every last second of it was public domain. That makes me feel kind of violated, in a way.
The third thing that I was upset about regarding the birth was that the people I wanted to be with me were not with me. Norah was not with me. Carissa didn’t make it to the birth. My sister made it to the very, very end of the birth, and my midwife only just made it there in time to catch the baby. This is another thing that I think would have been different if it hadn’t been such a quick labor. I asked Stephanie whether this happened so fast because of the induction and she said that it didn’t. She said that cytotec leaves the system in 2 hours – by the time I went into labor it had been almost 3 hours since my last dose. She said she thought that Miles and my body knew he needed to get out of there quickly and so that’s what he did. I suppose it is better that I was there at the hospital when that super fast labor went down than still sitting in my bedroom at home. While I think everything still would have been ok, I can’t imagine D staying calm while I delivered a baby at the house.
The last thing that I really disliked about the birth experience was that my family was split up for a few days – and not just any few days, but a few days of serious emotion and transition. I especially don’t like how this was for Norah. Here she is, living her happy little toddler life, and suddenly at the midwife’s office mommy gets all upset. Then the next day mommy stayed upset and Norah got carted off to Grandma’s house for reasons she really didn’t understand, only to finally get to see mommy again at the hospital, still upset (not openly, but kids know) and hooked up to weird things. Then the next time she saw me, Miles was here, but she couldn’t be with me and him for very long before being carted away from mommy again for a couple days.
That just isn’t what I wanted for her. I know there are people who were concerned about whether she would be upset by being there during the birth, but honestly I think being taken away from her momma for a few days when people were clearly upset was probably worse. I had really hoped for a smoother transition for her – not that she necessarily had to see the birth, but that we would all be in the same place, and all going home together at the same time and staying home together as a family for awhile. The continuity I had wanted just didn’t happen. I also didn’t like being away from her during that time. And when Daniel went home a day earlier than me so that he could care for Norah, I was honestly lonely at the hospital. I’m not one to normally feel lonely almost ever, but I really did that day. The baby slept most of the day and there was no one to really talk to and nothing to do but watch TV (which I just really don’t do or enjoy much), and there I was, all by myself, feeling unhappy about the birth and kind of phased by everything that had happened.
So there, that’s out. Those are the things that really bug me when I think about this whole birth experience. I’m sure there are more feelings down underneath, and that they’ll keep coming up and I’ll keep feeling new things, but those 4 things in particular are concrete things that really bothered me about the birth.
I have spent a lot of time feeling really angry at my body for doing this pre-eclampsia thing. I have felt angry at my body, and I have felt really ashamed of my body. Actually, I think it’s fair to say I have felt more ashamed than I have anything else. I am supposed to be able to do this birth thing without interventions, aren’t I? And I failed at that. Every time someone asks me about the birth and I start with, “well, I ended up having to be induced….” I feel a little bit smaller. I feel tiny, actually. I feel like, in the back of their mind they must be thinking, ‘oh, right, had to be induced’, while mentally rolling their eyes but outwardly smiling and nodding. This is stupid of me, but I can’t help it.
In a lot of ways I feel afraid that people look at me and think I’m stupid for letting the induction happen, or think I am pathetic for quite simply and blindly trusting my care provider – which I totally did, by the way. I trusted her 100%, totally and completely, to know at what point it wasn’t safe for me to stay pregnant anymore. Which is another point altogether, for another paragraph. I feel judged by every person I tell my birth story to, regardless of whether they actually appear to be judging me or not. This is not great for my self-esteem, or that little shame thing I have going on. Even if I think the person believes me that I needed the induction, I assume they are judging me for somehow causing myself to need it, as though I had anything to do with those mad ninja baby moves that got that cord all wrapped up. I am psychotic, I know.
So let’s go back to my care provider. Fact: I didn’t question one bit when Stephanie said we needed to go do an induction. I didn’t google or dig up any birth books or search for any studies; I said, “ok” (and sniffled a lot) and went. Somehow I have felt like I was supposed to have questioned this – I think this is another of those things that goes back to our culture of maternity care. People have so many ridiculous things done to them during birth, it is ingrained in my brain to question everything. Everything. I occasionally feel like a sheep for not having done so, and moreso than that, I feel looked at like a sheep for not having done so. This is another of those situations where I can’t believe I care what anyone thinks and yet I do care very much for reasons I don’t understand at all.
When I chose Stephanie as my care provider, I did so carefully, which is to say that I knew her C-section stats and how she handled what are considered routine interventions in most hospitals. I had spoken with her at length about her birth and care philosophies and policies, and had spoken with other people who had used her for their care. I did my homework, and she was the care provider I wanted. And when I chose her for my care, I also made the conscious decision not to question her if she decided an intervention was necessary (as in, not suggested, but we-need-to-do-this-now-so-you-don’t-potentially-die necessary).
I know a lot of stuff about birth. I even know a decent amount about the freak things in birth that require intervention, and about the risks and side effects of a lot of those interventions. This is mostly because, for whatever reason, there is some part of me that cannot survive unless I have a good book close by. But look, my degree is in psychology, and my work experience is as a writer. I am nowhere near qualified to make decisions about high risk situations. I realize that I have a right to make those decisions for myself, but I don’t necessarily think it is always wise to do so. Now Stephanie, on the other hand, is highly educated in her field, has attended I don’t even know how many births, and has a long, happy history of making good decisions regarding patient care without undue intervention. I don’t feel I am educated or experienced enough to make good choices about high risk situations. I know enough that I could spot scary things and get to Stephanie, but not enough to be able to decide what to do about them. Stephanie does know this stuff, and she can be trusted not to just randomly intervene for the sake of policy or convenience. Somebody has to be in charge of knowing what’s safe, and I choose to have that person be Stephanie, not me. I realize that is not a choice everyone makes about their care provider (and not a choice that is necessarily wise to make), but it is the choice I made. I don’t know why I feel compelled to justify it, but here I am, justifying away.
When I look at how I feel ashamed about things, I am realizing a lot has to do with how I feel like other people perceive me, and I don’t really understand that. I suspect it is something I will need to mull over again and again. But already, just seeing that here in writing is helping me to feel better. If I can get past worrying what everyone else thinks about me, maybe I can be ok.
I realize this is forever long, but there is more to write. I want to wrap this up by writing about the things I do feel really good about regarding this pregnancy and birth. I think if I can do that, it will give me some good points to focus on when I think about the birth, and will help me to tell a better story for Miles one day. So I’m going to do that and call this little writing project good.
As far as labor and birth go, I have a lot to be thankful for and to look back on fondly. I’m so glad Daniel didn’t leave to go get breakfast when he was thinking about it. He decided not to, and very shortly after that I went into labor and had a very fast labor. If he had left then to get breakfast, he may have missed most of it! I really needed and appreciated his support through labor and I don’t know what I would have done if he had not been there. He wasn’t able to do much for me as far as relieving pain, but his support was so valuable, especially because the labor went really quickly and I was very overwhelmed by how intense things were getting right away. I kept saying, “I can’t do this for 12 more hours” because I didn’t realize how fast things were moving and I couldn’t imagine handling that labor for very long, and he helped me to focus on just the next contraction and get through them all. I am generally not good at counting on people to be there for me, so it feels good to have counted on him for that and for him to have come through for me so well.
I am also so excited about how lucid I was for the whole experience. When Norah was born, I got so disoriented around the time of her birth and for a good hour after she was born. I intellectually knew what was going on, what had happened, who was there, etc, but I felt like I was viewing everything from somewhere else. Nothing seemed very real. It was just so overwhelming I guess my brain took a time out to recover. This time, however, I was really there, really present, for the whole experience. I am especially happy that I was so with it right when Miles was born, and I will never, ever forget those first minutes after his birth and how I immediately, instinctively reached for him and then held him and talked to him and just marveled at him, and how dense and heavy and real he felt to me – how he immediately felt like a perfect little person who had always belonged but only finally just arrived. It feels so good to think about that and to have had that be such a good experience for me. I can’t really even describe it, except to say it was like my whole body just signed with relief and felt like the world was finally right, somehow.
During the time Stephanie was with me during labor and birth, I was really thankful for her presence. There were moments when I was having trouble focusing or getting through and she would tell me to just listen to her voice and I would find her and be able to focus again and get through the moment. I remember really well how soothing I found that in the midst of the crazy, and I’m happy for that experience.
I also love telling the story of when Kristin showed up to pick up my placenta. First of all, I had paged the nurses’ station earlier in the day to ask if someone could pick up my placenta for me, and a nurse was in my room immediately. Immediately. Like, the fastest response time I’d gotten the whole stay. It was kind of funny. Then by the time Kristin arrived, that nurse was no longer there, so nobody knew to expect her. This new nurse walked into my room, looked at me real funny, and said, “Uh, somebody’s here…. they said they want to pick up your placenta??” So the nurse brought it in and gave it to me in this plastic box marked as a biohazard and then bagged it up in a hospital bag, “so no one will wonder why she’s walking around with a biohazard”. This still strikes me as hilarious. The next day one of the nurses came in and asked me all about it – what we were going to do with it, why, etc. It was kind of cool. When I was admitted at DeKalb, I didn’t know if I was going to be able to take the placenta or not, which I had planned on doing. I was worried it was going to be a big hassle or they wouldn’t let me have it, but it was no problem at all. Kristin encapsulated it for me and I think it really helped with that post-baby hormone crash. I just never had it this time around, and that made for such a good post partum experience at home the first week.
Another thing I am so thankful for is the outpouring of support I experienced when I found out I likely had pre-eclampsia. Erica talked to me for a long time that Thursday night before I ended up being induced, and her words were so helpful. Carissa came to the hospital on Friday evening and just let me be sad. I needed her presence so much right then and I was so glad she came. My mom came on Friday during the day and cleaned up my house and helped me with Norah. Friends and family kept checking in on me and made me feel loved. So many people from our community sent me thoughts and prayers and messages and made me feel so valued.
There’s a lot of good in this whole experience and I think that’s where I am going to try to focus from here on out. There’s always good in the bad and bad in with the good, and I guess that’s just life. No, this isn’t how I wanted it. No, it wasn’t perfect. I’m guessing no birth is perfect, but I was hoping for a little closer to perfect than what I got.
It has taken me 2 weeks to write this all up (so now Miles is almost 8 weeks old!), and I can see, from how my writing changes from beginning to end, that I am healing up. That is good. I am a firm believer that there is a place for the ugly stuff and that it is ok to hurt and be sad and wallow a bit sometimes. But I think healing up is good too, and it has to start some time. I’m glad to be feeling a little happier about things.
I’m not sure what else to say. I know I’ll keep finding things to feel about this for awhile, and that I’m not totally done with it. But I feel like I’m done enough to stop writing for now and to move along to something else for awhile. If you’re out there and you’ve read this, thank you so much for taking the time to hear me.
1 comment:
Big (((hugs))) Heather. You are amazing! Truly you are :D I think it is wonderful how you are trying to find the good things that happened. One that I can see from the outside looking in, is that you were surrounded by people who genuinely cared about YOU, people who wanted you to have the best experience possible. I am so glad that you were able to have that. With my first child, L, things didn't go as I had planned exactly, and I had a horrible nurse, absolutely horrendous woman, who insisted (at every turn) that I was hurting my baby by not accepting an epidural (can you believe it?) I am so glad you were spared that. You had people who respected you. You had people who loved you. You had people that you knew and respected, and I think that that is amazing.
Congrats on your beautiful, bouncing, bundle of BOY! You are awesome :)
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