Showing posts with label birth trauma. Show all posts
Showing posts with label birth trauma. Show all posts

Tuesday, August 5, 2014

Guest Post: "Overcoming Fear in Order to Heal"

The Fear of the past…
Is something that came to light when I decided to get pregnant again. I never really thought about my first labor experience, until I started thinking about having another baby. I would just look at the pictures of my daughter’s birth, and recall my baby girl being born healthy and becoming a mother for the first time. But when I got pregnant for a second time, all the memories of the labor came rushing back. The physical pain of an unnecessary pitocin induction just because I was 3 days "over due" coupled with a half way working epidural and no preparation on how to cope with contraction pain that was intense with pitocin , had created a negative and traumatic memory. The feeling that really hit me was I went against my one and only instinct I had during my labor, I took intravenous narcotic pain medicines twice, which hardly helped anyways. I had not prepared. I just thought well I will just go to the hospital and have my baby like everyone else. I had known nothing of labor, medications, inductions, and delivery methods. I should have known something before I had my first baby, but I was scared of the pain, had fear of the unknown and the whole experience of labor and delivery at 20 years of age. That first birth was out of control chaos that I didn't want to repeat.
I chose to have a birth without fear…
because this time it HAD to be different. You learn from experience and don’t repeat mistakes, right? I started researching everything I could and gathered knowledge. Most of my research was through the American Congress of Obstetrics and Gynecology and the American Pregnancy Association. My research confirmed why my instinct told me not to take the pain meds. It also told me why my unnecessary induction experience was so painful and just overall negative, besides my daughter being born well. And I was lucky for my baby to have done well through labor and be born healthy and alert. I suffered a very painful 1st or 2nd degree episiotomy as well. I discovered that I was now personally uncomfortable with unnecessary inductions because it can easily lead to unnecessary risk and suffering for baby and mother. I asked myself, why can't labor and delivery be a happy experience? Why has everyone I known got induced, are we unable to go into labor anymore, or is just inconvenient? Is it possible to look back on your labor and think wow what a great memory? Why not? Why can't labor be a positive memory? Why not? I am a bit of a control freak and perfectionist and the thought of my negative, painful, and out of control first labor was upsetting. I needed to control my body and my labor. This was likely to be my last baby, so I wanted a positive and healing memory this time. So I decided I wanted to try to have a natural unmedicated natural child birth, but I never had full trust in myself to make it without the epidural, although it had only worked on half my stomach last time. I couldn’t let go all the way of my harbored fears from my first labor, my fear of the pain making me want an epidural, fear of getting repeat episiotomy due to scar tissue, and fear of something happening to my baby drove me to a hospital birth again. I was on a budget and read a book called Birth Made Easy by Paola Bagnall and listened to the hypnobirth Mp3 from it every night during my last trimester. I practiced positive affirmations and hypnosis with breathing to counts of four, all in hopes that I could labor all naturally. All the while I was learning to trust my instinct and trust my body, and letting go of all my harbored fears.
Then some problems arose…
At just 24 weeks of pregnancy my OB diagnosed me with low amniotic fluid and monitored me weekly with ridiculously expensive bio physical profiles. I didn't worry after finding out my levels (6-9) weren't worrisome if the baby was healthy. She did tell me to work part time and take it easy the rest of my pregnancy. I started to drink a gallon of water a day and the only caffeine I had was 1-2 sodas per week. Then I found out I was positive for group B strep. So I was glad that I chose a natural hospital birth so I could get the antibiotics for my baby. At my 38 week appointment my blood pressure went up to 130’s/85-95s, which was a little bit high for me considering I had been having low blood pressure (80/45 to 100/70) with symptoms. My doctor told me I was soft and 1-2cm dilated with baby up high, so not much going on. It started looking like an induction was in my future, because my OB was pressuring me already with the three reasons I stated above as her basis. I told her No, I am not inducing until 41 weeks, although she had tried to set up my elective induction for me for 39 weeks. Those three reasons started tricking me into thinking an induction may be needed to. I desperately wanted to labor naturally. For my baby’s health. For my perfect birth experience.
Early labor starts…
At 36.5 weeks I had started walking an hour and bouncing on a yoga ball half an hour, both every night. During these activities I would practice techniques I had learned on my hypnobirth mp3 to relax my muscles so my pelvic floor would not be tense and the walking and bouncing would actually produce progress. I also took evening primrose oil and ate pineapples. I was due with my son November 21st, 2012. On Wednesday evening November 14th after my walk and ball bouncing, I started urinating very frequently with several Braxton hicks contractions. Then I had a sharp uncomfortable contraction, then another 2 minutes later. The contractions continued at 2 mins apart lasting 30sec each. I hopped in the bath tub and relaxed to my hypnobirth mp3 while excitedly pondering if this was it! My Husband packed our hospital bags and timed my contractions…and then they quit after an hour. The next day, Thursday November 15th, I felt like I was having a menstrual period. I had continual dull uterus cramps and low back ache all day with the occasional Braxton hicks contraction. Then the next morning at work, Friday November 16th, I passed bloody mucous. I knew it, I was in early labor! I was excited. I monitored my blood pressure and when I was up and about it was 135/95. It made me nervous because I knew my OB would put the pressure on at my upcoming appointment Tuesday/due date day. So I took out my book Birth Made Easy and looked up natural induction methods in the book to get those wonderful contractions going again. I had already been doing what it said. The ball bouncing, walking, sex, primrose oil, and eating pineapple daily. I continued to read and there it was, castor oil. It said for past due babies though. So I hopped on my birth club online and found the posts about girls taking castor oil. I started counting because I am a number and statistical person and found a success rate of about 30 out of 45 girls who had tried it. With no negative outcomes from any of the girls and baby’s. I had read several birth stories previously that week in which castor oil had been used and actually recommended by midwives and their babies were born healthy. I googled castor oil and came across many blogs with opinions on it and even midwives chiming in on the discussions. I found that it wasn’t studied and the common risk was meconium waters, and most of those cases were over due babies so it was hard to blame that occurrence on the castor oil alone since over due babies tend to have a risk of meconium waters anyways. I needed to have a bowel movement anyways so I decided what the heck, why not try it? It's all natural and I bet its way better than dreadful pitocin as far as the babies and my health is concerned, escpecially since I found it in my hypnobirth book and it had been used by midwifes. So I did it. I took the max recommended dosage around 2pm and did everything else I possibly could to get my contractions started. I walked, ball bounced, etc….And I waited, and got nothing but a few runny bowel movements that were not uncomfortable. I drank a gallon of water (over a couple hours time) and started sweeping the floor. I got in a foul mood suddenly and snapped at everyone around me which was my husband, brother, mother, and daughter. I started crying suddenly. I realized this may be the hormone let down before labor and yet I couldn’t control my level of simultaneous madness and sadness. So my mother and brother took my daughter to my grandmothers for dinner and I went on another long walk alone in the dark and cleared my mind . I thought about my labor and envisioned it all going as planned. I had a feeling this would be one of my last moments alone with myself and my mind and peace. And I was correct. I came in around 8pm, kissed my daughter good night and pondered looking at her as an only child one last time. I went to sleep at 10pm

At 12am Friday November 17th at 39 weeks & 3 days I was awoke by a sharp uncomfortable contraction, 2 minutes later another came. I woke up my husband who had just laid down a few minutes prior and he began to track the contractions with a handy android app called contraction calculator. I started playing my hypnobirth mp3 by Paola Bagnall and went into my deep meditative state, while controlling my breathing to a 4 count. In hypnosis, you do not think. This is a reason why it is so effective and why I mastered it with her book and mp3 my last trimester of pregnancy. The only thing your mind is focusing on is the voice of your hypnosis guide, your breathing techniques, and the occasional check that your muscles are relaxed. Without thinking, negativity and tenseness cannot creep into your mind. I could feel right before the contraction was coming and catch it by starting my breathing. I would visualize it coming in like a wave because it actually felt like that. When I breathed in, I would push out my stomach using my diaphragm and it would naturally stretch my uterus making the contraction feel better. When I would breathe out I would drop my shoulders for deeper relaxation and release any tense feeling in my pelvic floor. My mp3 track gave me positive affirmations and visualizations of my cervix easily opening like a flower bud. The contractions were strong and 2 mins apart every time and lasting a minute every time. After an hour, we called my parents and the hospital. I took a shower and did my hair and make-up in a quiet and peaceful state of mind. My dad was to stay with my daughter at my house because she was asleep, and my mom was coming with me and my husband to hospital to video tape the birth. I gave my husband and mother specific instructions on maintaining a quiet peaceful environment and how to be my birth coach a few weeks prior. We were not telling anyone I was in labor to keep it that way, peaceful and quiet with no break in my concentration of hypnosis. I paced the house and listened to my Mp3, I was so excited because with each contraction I was getting closer to meeting my baby! I was so happy I was in control of my body and handling everything so well and went into labor naturally. I called the hospital and told them the about my contractions being regular for an hour and half at 2 mins apart and they told me to come in to get me and Christians IV antibiotics before he arrived because they take a few hours to administer. I would of labored longer at home if I had not had the group b strep.
We arrived to hospital….
around 3am with contractions steadily 2 mins apart still and strong. I never turned off my mp3 but for a few minutes. They hooked me to the dreadful outer monitors and told me I was a -2 station and 2.5cm. Baby Christian was happy as a clam in my belly on the monitors. I rocked back and forth on the edge of the bed for a while then laid down since it was almost 4am and I was with no sleep. I was in deep meditation which allowed me to doze off between the contractions for a whole 2 mins at a time! My mom and husband took turns dozing off, mainly my husband. They checked me again in an hour and I was the same. This brought me out of my deep meditation and I started pacing back in forth in a 6 foot line and got a little tense. Was this a false alarm? Or do I need to get to walking and relaxing again? They came back in an hour and half and I was the same again, and offered pain meds which I of course said no to easily. So I told the nurse, “I need to get off these monitors so I can walk.” She told my Dr, who hadn’t even popped her head in yet and but was there, and the nurse came back and said “We are going to let you go home.” I thought well ok that is what I want, but I am in about 8/10 pain with the contraction, they are lasting one minute each and two minutes apart, and I am positive for group B and have been in labor almost 7 hours now with consistent contractions, so is this a good idea, to go home like this? My mind answered yes it is, because if you stay hooked up to the monitors you won’t dilate and they will give you the awful pitocin which is bad for baby. If I want to progress naturally, I need to get out of here.

We headed back home…
around 7am. The only time I ever looked at the clocks was when I went into labor at midnight and these two times in the car. In my state of hypnosis there was basically no time. The car ride intensified my contractions. When I got home I was exhausted without having slept and my contractions were very hard so I had to lie down. I was nauseous with every contraction. I had drunk another half gallon of water and was hungry, but couldn’t eat the chicken broth soup and toast my mom brought me. My husband went back to sleep and my mom sat right by my side as I laid in the bed. I was hypnotized to my hypnobirth mp3. Paola Bagnall's voice carried me through every single contraction. I visualized napping in the sun on the beach at Lake Tahoe, and I fell asleep for 2 minutes, then a wave was rolling into the shore, it was the contractions which I woke up for the duration of 1 minute to handle. This process of sleeping on the beach and then waking up to a wave continued for almost 2 hours. I was curled up in the fetal position as best as a full term pregnancy woman could. My mother eventually left when my daughter woke up to feed her breakfast. It was just me and Christian now, my son, working together. A quiet mind will wander, but a focused one will not. All my thinking mind needed to shut off was that constant soothing voice of hypnosis. I didn’t fight the contractions, I never tensed up. I breathed through every contraction to a 4 count, sleeping in between, so relaxed , it was an out of body experience. After those 2 hours in bed, I started moaning quietly through the contractions and I had to get up because the pain was very sharp in my uterus now. My heart raced and I had butterflies. I wanted to get in the bath tub instinctively. Half way there, a contraction came and I fell to my hands and knees. I remained like that till it passed. Falling down like that broke me out of hypnosis for a second and the pain was intense. I yelled for my husband and he helped me get in the bath tub. I knew getting in the bath would help me relax and relieve some pain. It was just me and him now and he kicked in to birth partner gear. He gave me positive affirmations and followed my lead. I noticed during the contractions I was peeing a little in the bath tub. I repeated the contraction section on my mp3, over and over again to concentrate on getting through just the next contraction. Just keep breathing. During this labor my life had taken on a different meaning, to just get through the next contraction. The bath was like a haze as the contractions got stronger and I started losing control of my 4 count breathing. I would exhale by blowing out a long whimper so I wouldn’t have to breathe in very much. My husband was timing it all and said the contractions were now nearly 2 minutes long. I said “Well when should we go back to hospital, it’s from an 8/10 to 9/10 pain, is that good enough to go back to hospital? Do you think it’s time, or maybe I haven’t made any progress? ” The next contraction I felt a sudden heavy pressure press down on my pelvic floor and anus. I peed a little more. I had my husband help me out of the bath tub. I sat down in a squatting position on the edge of a chair and had another contraction with intense pressure , it felt like my anus was turning inside out it was so intense. I got a spurt of nervous energy and paced the room before the next contraction and when it hit I sat down in a spread legged position again on the toilet this time and peed a little more in spurts, and I totally relaxed my muscles and let the pressure press down with all it had. I said “Ok it’s time to go back to the hospital because there is intense pressure coming down and seemingly out of my anus.” It was 10:30am (my husband later told me), only 3 ½ hours after we had first returned home. So my husband dressed me because I suddenly started feeling weak, limp, and shaky. He helped me to the car. The drive was horrible, I moaned loudly with very long exhales and a bucket in my lap in case I got sick. I could feel every little bump in the road. I never opened my eyes. My mp3 finally was off for the first time. I started thinking finally, previously I had only had thought when I was at the hospital and when I was in the bath tub. I was still (barely!) in control of myself. I started thinking out loud to my husband. “What if I still haven’t made any progress? If I haven’t made any progress then I will get the epidural because I am losing control! This hurts. What if this pressure and intense pain is transition? I am shaking and weak and nauseous, I think this is transition…I am scared to do this without an epidural. I understand how those girls on I didn’t know I was pregnant thought they were having a bowel movement because this pressure is all coming out of my anus” In that car ride, I became one with my body. Although I was not in hypnosis, I was still relaxing and meditating. When the contraction would hit, my breathing would become shallow and my body would become completely limp. It was like my body would take every ounce of energy from every other muscle and give it all to my uterus, and I didn’t fight it. My legs were rubber and flopped open. When the pressure would start coming down all I could feel were my lungs trying to breath correctly and the muscles of my pelvic floor, uterus and anus, and I would feel them all try to tense up and fight the pressures pain. I focused in on those muscles and I released them, I let the pressure come down as far as it wanted to without resistance. I was truly becoming one with my body and letting it do what it was designed to do. It was amazing. It was empowering. I was strong.
We got back to the hospital
Around 11am (my husband told me later) Here is the scene: Me in my red pajama pants with black dogs on them, pink and silver tennis shoes, belly hard as a rock In a tight black tee shirt, huge black sunglasses on, messy hair, moaning out loud but quietly, whispering when I spoke, my poor husband helping me into a wheel chair in front of the emergency room. He left me with the check in attendant to park the car, my mom was parking her car at the same time. The ER attendant rudely said “What’s your name and date of birth mam?” I just quietly moaned/whimpered through another contraction and ignored her. My husband came running up and answered all her check in questions. They wheeled me up the elevator and to a labor room. My nurse and husband had to put me in the bed and take my clothes off. I felt too weak to stand and the bath tub and bed had been my best friends this labor (and my hypnotherapist of course) so I happily obliged to the bed. The nurse strapped on the monitors and Christian was still performing excellent on them. The nurse tried to check me immediately and I slammed my legs shut saying “Wait till my contractions over.” She said “Well I have to check you hunny!” I said ”I know just wait”. The contraction was so intense and the pressure made me shake uncontrollably. The nurse checked me for a long uncomfortable time in which her hand was almost going in a circle and I said “What is that? Ouch! What are you doing? Please stop.” And she said “That is your baby’s head , you are fully dilated and ready to go. You already lost your bag of waters?” I said “I don’t know.” I must have left it in the bath tub and toilet right before I left and had close to none since I had low amniotic fluid throughout pregnancy. It was 11 am just 4 hours from when I left the hospital earlier. In 4 hours at home and in the car I went from 2.5cm to 10cm. But here comes the fear in my mind; is my baby going get strep? Well I can’t control that. Onto the next fear, something I can control, my previous episiotomy hurt like crazy after my epidural wore off with my first daughter, I mean I cried it was so horrible. That fear hit me like a ton of bricks. And the fear of a ring of fire during crowning my best friend had described to me as a blowtorch after her natural birth. I said to the nurse “Ok I need an epidural first because I don’t want to feel that ring of fire thing or any cutting or tearing. It’s gonna hurt.” And she said “Oh no hunny I am so sorry it is too late for that.” and she ran out of the room. I yelled after her “But no I really need an epidural first!” My beloved mp3 was gone, my meditation was gone now, and the chaos started. My husband held my hand tight, looked me in the eyes, smiling with a tear in the corner of his eye and said “You are gonna be ok baby you can do it. I love you.” I said “Where is my mom?” She had been told to go in the waiting room while they checked me I later learned. I started to panic; I let the fear come over me like a wave as the wave of nurses started running into the room and another wave of a contraction hit me. I moaned loudly in a low pitch. I said again “Seriously I need an epidural. I drank a lot of water I promise.” They said no again. My mind told me it would hurt, but I didn’t know that for sure. It was fear of the unknown and fear of the past gripping my mind. I said “Ok, well what about some pain meds, I had those with my daughter and she was perfectly fine. I really don’t want to feel that ring of fire thing.” And a nursery nurse with her back turned to me and my husband said while unfolding the babies blanket, “We can’t give you that this late or your baby would have to be resuscitated.” My husband said no out loud and I said no in my mind. I shook my head back In forth as a response and went into my mind Why did you even ask for that, you were adamantly against that anyways because of that very fact, sedated babies and hardly any pain relief. People swarmed about the room setting up the delivery table and baby table. My nurse came over and said “I’m sorry hunny, but look you have made it through the hardest part already, all the labor!” That sentence started to settle, and started stirring something up inside me, my strength. A male Dr came in and said my Dr was delivering another baby right now and he introduced himself. I introduced myself and looked straight at him and said, “Is there anything you can do to help me?” He said “I am going to give you a local anesthetic over your scar here and start your antibiotics” I watched his hands draw the needle and felt the sting on my old scar. The Dr said “You’ll feel this sting. Ok it’s almost time, just 2 good pushes and we’ll have this baby!” My mom had just entered a few minutes ago and excitedly and nervously said “You hear that Melanie, just 2 good pushes and you’re gonna let er rip! When should she start pushing?” The room was very quiet and my eyes were closed, head tilted back. I heard people saying “You’re doing great” Then, another contraction came over me and as I moaned I felt an uncontrolled push happening with a whole lot of shaking and crazy breathing, thinking no I can’t I can’t , but my body was trying to push. The nurse told me hold my breath and started to count out loud for me. I didn’t do it like I should of, I said “I can’t”. Everyone said, "You can do it, just push hard" When that contraction stopped the room got quiet again. I felt a sharp unnatural feeling on my urethra and said “What is that?” The Dr said “I’m sorry but I have to drain your bladder real quick with this catheter because your urethra is beginning to tear from your pushing so hard” He did it fast and took it out within his 2 minute window before I was to push again. The sentences of encouragement where still stirring around inside of my mind , I had done it? I had done it. I labored naturally and controlled my pain up until this crazy transition pressure pain, anyways, just when I thought I couldn’t take anymore, it was delivery time. The nurse had said the hardest part was over already, was she right? Pushing with my daughter was a piece of cake, so this should be easy too right? My perineum was numb so I won’t feel it if its injured again. I turned to the nurse and said “But what about that ring of fire? I’m starting to feel a burning sensation.” Her and the Dr replied “Just push through the pain when you feel it” I said ok, and I thought I’m going to do this this time, I am strong. I got what I wanted, a natural child birth. The sentence reawakened the strength that had only gone away momentarily. I said “Here it comes” and there it was, a huge contraction with a huge amount of pain and pressure. The nurse started her instructions. I breathed in, held it, and pushed as hard as I could, and as soon as I started to push, that contraction pain completely vanished. Like magic. So I pushed harder, and there was absolutely no pain. My mind was relieved, it was like a breath of fresh air as I only felt a huge amount of pressure and a slight burning sensation now and not the contraction anymore. When I got to the count of 6 I started moaning out my held breath, like a relief moan, I knew I probably shouldn’t have but it felt right. I felt my baby moving through the birth canal and it didn’t hurt. The feedback of feeling successful movement of my baby helped me focus on my pushing. I took another breath and I pushed again two more times for long 10 counts and then the contraction ended. The Dr said the head was nearly out and with the next contraction I could meet my baby. This statement, coupled with a nonexistent ring of fire, a numbed perineum, and the super awesome newly discovered fact that when I pushed my pain actually went away, gave me so much excitement! A huge smile came across my face. I asked the nurse “Can we let my bed up higher?” , so I’d be like sitting and she said no, and before I could argue here came my contraction. I took that huge breath in and held it and pushed as hard as I could, I really used every ounce of strength I had in my pushing. I started to moan as I exhaled again through the last couple of seconds of each breath, I thought about that nurse telling me no and my moan got loud. The Dr said “Ok stop, his head is out” I excitedly demanded “I want to hold him!” They said hold on, and ok now push again, and I did with a higher pitch moan, and whooosh, out he came! The Dr put my son on stomach and I was over taken with emotion and joy crying “My baby, my baby! " My baby boy quietly opened his eyes and squinted up trying to find me and my voice, I was in awe as he looked at me. I don’t know if he had started to breath yet, I don’t think he had, but the Dr gave him a little rub and he started to cry. I said “He's so little! It’s ok sweet baby ” Dr clamped the cord and daddy cut it while he was on my chest still. I was so overtaken with emotion! Then they took him to his little bed a few feet away and cleaned him up and weighed him and he stopped crying and started looking around calmly. The Dr said he did have to give me a very small episiotomy, just a few stitches, because the scar tissue was not stretching although he had was trying to stretch the perineum for me. The Dr massaged out my placenta and sutured me quickly; he kept saying that I had done a great job, and an amazing job pushing. I closed my eyes and sighed in relief. I said “It really wasn’t as bad as I thought it would be” My son was born Saturday November 21st 2012 at 11:26 am, only 26 minutes after arriving to the hospital at 11am. I labored 4.5hrs at the hospital and 6.5hrs at home. I lost control and let that fear creep in right before delivery for about 10 minutes during my 11 and half hour long labor. Christian Lee Willis was perfectly healthy and was 7lbs 2oz and 21 inches in length at 39weeks and 3days gestation. He had no cone head shaping at all and no puffy eye lids and was born fairly clean. After about 20 minutes of cleaning him up and measuring him in the same room as me, they gave him back to me and left us all alone. He nursed for 20 minutes with ease, just quietly staring with squinty eyes at me and his new food source, just like my daughter did after her birth. My brother and daughter came in and I let my husband and daughter hold our baby boy. Then I fed him again. I hoped up with ease a little less than an hour after delivery. Recovery was so much easier than the first time, although my urethra and bladder were sore for months from being stretched. The contractions were much easier to handle because I could catch them as they came on like wave, building up to a peak, and they were focused on my uterus, with a max total of 9/10 pain in transition. Compared to 10/10 pain with pitocin contractions for several hours with my first birth and they were so hard to handle because they took over my entire stomach and came on out of nowhere immediately strong. My body created a natural epidural due to adrenaline and other hormones that were left undisturbed throughout labor also due to the vagina being stretched so much after crowning that it just goes numb from nerve compression, I started to reflect on what just happened. I had my healing experience that I so desperately needed after my first birth experience. I trusted my body and just let go. I just gave birth without fear. I am strong.
After my experience I discovered Birth Without Fear blog and decided to write my story so I wouldn't forget the details, to inspire women, and to show my children when their first children are one the way. I also found this quote that spoke to me, and it is my hopes that my story and this quote will find someone who is pregnant and inspire them to believe that they are strong.





“We gain strength, and courage, and confidence by each experience in which we really stop to look fear in the face... we must do that which we think we cannot” – Eleanor Roosevelt


Please follow Melanie on Instagram @Mama_Mel_Mel to learn more about her and her family!

Friday, February 14, 2014

My Birth Story

 I wrote this back in August 2012, so some stuff is out of date (like my son is obviously no longer 10 months old lol) but everything else still applies.


*********

On September 24, which was a Saturday, I woke up to pee for the 8,956th time overnight at about 4am, and noticed I was leaking a little bit. I had been leaking randomly, contracting randomly, etc for weeks (TMI, sorry) so I paid it no mind and went back to bed.

At about noon, we were getting ready to head out to my parents house because Hubs had promised my little brother a driving lesson, when I got a really sharp pain that seemed to envelope my entire abdomen. That wouldn't have been a big deal, since I was used to random evil pains at this point, except this pain lasted 30 minutes straight. I was crying by the time it was over. I decided we should stop in at the hospital before we went to my parents, if only so they could assure me I was having my 48th false alarm before we went on with our day.

Lo and behold, my water was broken. Well, not broken. "Ruptured". Trickling.

And I was dilated a whole 1/2 cm.

I was immediately super excited and terrified, though excited won out in spades. We called our parents, and of course EVERYONE came over right away.

I was admitted, and put on an external monitor. The pain was pretty bad, to the point that my dad had to get up and leave because he couldn't stand to see me like that. I was checked a couple of times, and I remember thinking I was going to die during the cervical checks. Literally. I was making my peace because I was certain the pain of those checks was going to throw me into shock and my heart was going to suddenly stop beating. The labor was nothing compared to those checks.

I wasn't progressing, so at about 7:30pm (having been in labor for over 15 hours at this point), the nurses inserted something called Cervadil in "there", after much resistance from me (I wanted ZERO intervention if at all possible, and EVERYTHING the nurses suggested was met with resistance, FYI). It was basically a piece of paper with hormones in it meant to help my cervix dilate (open) and efface (thin out) over 12 hours. I was told to get some rest (yeah right) because tomorrow, I would be able to start pushing and I needed to conserve as much strength and energy as possible.

When I woke up the next morning (I say "woke up" loosely, I didn't sleep much thanks to the damned blood pressure cuff trying to murder me every hour and the random nurses walking in and out of the room to adjust the monitor). I was checked again, and I was only 1cm dilated. 12 hours of Cervadil got me a whole 1/2cm. I was told that I had to get on Pitocin, regardless of my protests, because it had been over 24 hours since my labor started and I had to help the baby (ha!) in order to avoid a c-section, which is my absolute greatest fear. So in goes the Pitocin.

I tried to nap since I slept so crap the night before, but I was woken from my nap to a nurse half yelling at me that I needed an internal monitor because they lost the baby on the external. BEGIN PANIC. I was terrified not only of the monitor, but the fact that THEY were so panicked about the baby. The contraption was so painful and uncomfortable, imagine a huge long spatula IN YOU then laying on your thigh. That's
how big this thing was (Bu STILL has a scar on his head from the monitor, btw, and he's 10 months old now). They finished rupturing my bag of waters to put it in, and the party really got going.

I had more cervical checks. I have to say, now almost a year postpartum, I don't remember what the pain of the labor OR the checks felt like, but I remember the screaming. I remember hearing myself scream and being so delirious that I was sure it must have been someone else because I couldn't even scream like that. It's incredible the things the mind remembers (and forgets) in order to protect oneself.

At some point in the late morning/early afternoon of September 25, I had some sort of epiphany. I said to myself "you're scared, and you're letting the pain take you over. You need to take over the pain, or you'll never get through this. Do it for the baby." So I started breathing. Mind you, I never took a single labor class (maybe I should have), so I had no basis for what to do. I just did it. Every time I felt the wave about to hit me, I barged into it instead of fighting it. I spread my hands in front of me, requested that no one touch me, and I just breathed. I was deep in concentration, and I hadn't realized that the contractions had more than tripled in strength according to the monitor.

I started to really feel like I was kicking this labor's butt! I felt strong and powerful. 38 hours into the labor, I was checked again, and I was so thankful to hear that I was now 3cm dilated and completely effaced! It was working! It was slow going, but it was working! I was on the right track! And still no pain meds! I would meet my baby soon, and he would be alert and recognize his momma immediately and everything would be perfect. I asked the
nurses how much worse I could expect the contractions to get, and they told me that based on what they saw on the monitor, I was having transition-like strength contractions already. My body was ready for delivery with the exception of my cervix (a pretty important bit LOL) so I shouldn't feel much worse at all.

I felt a second wind come over me! It wouldn't get much worse than this, and I was making progress! I was Wonder Woman! I just kept breathing, with my husband, mother, and grandmother in awe that I was doing so well considering the wreck I'd been for so many hours prior. I got a new nurse (my 4th or 5th, I believe) who was schooled in natural deliveries and minimal interventions. I felt this was fate encouraging me and I knew I was doing better than anyone expected, so I was relieved and ready to fight.

At 44 hours, I had another cervical check. I hadn't moved one centimeter. Not even half a centimeter. In 6 HOURS. The 6 hours where I was feeling like this labor was my bitch. I felt so defeated. As if that wasn't bad enough, my doctor walked in (the doctor, by the way, was second to last on the list-of-doctors-I-hope-will-deliver-me because she always seemed so clueless and incompetent during my office visits with her. The only doctor UNDER her in the list was a fat-phobic asshole who was an absolute nightmare both as a person and a doctor) and let me know that she'd waited long enough and I needed to have a c-section. I threw up.

A nurse came in and tried to put me in different positions (I had labored sitting the whole time because I couldn't take being on my back), but I was already defeated. I felt like the hospital was just toying with me now, to teach me a lesson (I was delirious, ok?). I was already doomed to a c-section, what could I possibly do in the next hour
that I hadn't already done for over 40 that would allow me a vaginal birth?

I barfed again on the way to the operating room. All over my cute custom delivery gown. I remained in that gown for the delivery, FYI. So I was covered in barf when my son was born. Cute.

I was shaking and crying the whole way to the operating room, and telling literally EVERY SINGLE PERSON I came in contact with that I was "SO SCARED". Some people tried to reassure me, others ignored me because they had work to do (probably for the best), but I promise not ONE person in that operating room was spared an "I'm so scared! ::SOB::" and there are a LOT of people in an OR for a c-section. They gave me a spinal (so I ended up with an epidural anyway) and I immediately felt my toes go numb, which scared the hell out of me (even more). I realized I could not move my toes, and I started uncontrollably shaking. I'm talking have-to-be-held-down, violent shakes. My husband was allowed into the room and he sat next to me while they did their thing. I heard the baby cry, and the doctor say "It's a boy!".

My first thought? "I know."

Ugh, I was so out of my mind.

Then I saw him. And I cried. My husband turned to me and said "It's our little boy!"

And I vomited. On his bare foot. Never wear flip-flops into an OR, people.

I know looking back I was really lucky that I got that doctor because she was a bit of a pushover, and every time I argued that I wanted another hour, and another and another, to see if I could do this naturally, she allowed it until the last possible moment. If I had gotten either of the 2 doctors I was hoping for, I would have been on the operating table just hours after being admitted, not days. It can be argued that I ended up on the operating table anyway, but it was MY CHOICE to have such a long labor, and she allowed me that choice. I couldn't be more grateful to her for that.

And so, the absolute light of my life and reason for being came into this world 3 days after I entered the hospital, after 46 hours of unmedicated labor.  It's definitely a story, and an extraordinary experience. And believe it or not, I wouldn't have had it any other way.


********





Wednesday, January 29, 2014

My Thoughts as a Pregnant Woman about Forgiving Myself

This is a post I wrote on the blog I was keeping throughout my pregnancy...little did I know that less 24 hours later, I would be admitted to the hospital and induced into labor...another story for another day. But this post is an example of how sometimes in pregnancy, like in any other aspect of life, things may not go how you plan and you have to accept that it's not always your fault, especially if you know and do your best.

 

Maybe not an epiphany, but…

…definitely a tough realization. I had “it” last night while talking to my sister…it was one of those things where you talk and talk so much that eventually something profound pops out of your mouth without even thinking about it.

I was explaining to my sister all the reasons why I want a completely unmedicated birth (in no particular order):
1) I want to avoid the slippery slope of unnecessary interventions. For example, if you are induced and they start you on Pitocin, your body is forced to labor before it is ready, which leads to much stronger and more painful contractions than you might have actually had if you had avoided the drugs. Now that the pain is SO strong, you feel like you need an Epidural, so you get one. the thing about an epidural (or any pain medication) is that it slows down your contractions, and before you know it, you’re being given MORE pitocin because you’ve plateaued or slowed down more than the hospital would like. The pain is back full force, so you get more pain medication. Lo and behold, the doctor walks in and tells you that the baby’s heartbeat has slowed/risen/become erratic, etc. and now you need an emergency c-section. What they won’t tell you is that the heartbeat got like that because the baby couldn’t handle the constant changes in the uterus due to the medications.  Now your baby is in danger and you need emergency surgery just because of one intervention that didn’t even need to happen.
2) It’s safer for the baby to labor naturally, not just because of the reasons I listed above, but because every medication you could be given (and there are LOTS of kinds, not just pitocin or an epidural) can leave your baby in a stupor for hours, even days after birth. I would rather bond with a baby that is more alert than know he has no clue who I am because I made sure he was born zonked out.
3) the most important reason in my gut is that I VALUE the hard work and dedication it takes to give birth naturally. I don’t know if it’s this city and it’s “get in, get out, get on with life” superficiality, or what…but there is ZERO support here for mothers that want to go natural. You’re likelier to be told you’re insane for trying (even by other moms) than receive any sort of support. There’s no natural-method birthing classes in the entire county, insurance doesn’t cover midwives (if you can FIND one), there’s no resources on cloth diapering or baby wearing…even breast-feeding past 3 months is weird and taboo here. I’ve spoken to two OBs and even hospital staff regarding my wishes for a natural birth, and every SINGLE time, I was answered that all my requests would depend on what drug(s) I was on at that particular stage of labor. So literally EVERY person I spoke to regarding my birth assumed that I would have some sort of drugs at some point of the labor, even when I had prefaced the conversation with “I want a natural birth, so…”

 I mentioned that earlier this week, I had a breakdown because I was so frustrated with the anxiety of the upcoming birth and not being able to plan for everything because every time I spoke to someone else about my birth plan, I was told at least a couple more things I could not count on having. While I was talking to my sister, I realized that my problem was the planning. I desperately want a natural, drug-free birth, but the fact is that all the books I’ve read on the topic and all the videos I’ve watched to prepare all assume that I will be among supportive people in an environment suitable for natural labor and delivery.

I am not. And I will not. And as much as I blame myself for that, it is unreasonable to because there’s nothing I can do about it.

The hospital requires continuous fetal monitoring. They don’t have wireless OR waterproof monitors. This means that once I am admitted to the hospital, I will literally be strapped to a bed in one position until I have the baby. In my original birth plan, I wanted to labor in a tub, or at least in a shower because I’ve found throughout the pregnancy that all my pains can be eased substantially with warm water. Well, there ARE no tubs, and I am not ALLOWED to shower until after the baby is out, “considering whatever drugs you’re on have worn off at that point”. Why? “Hospital rules.” That’s it. I’ve not once been given a legit medical reason why I can’t do X, Y, Z…all I get is “it’s hospital policy and they’re not flexible” which is basically they’re way of saying “don’t try to fight us on this, you’re going to lose.” In fact, I was even told by one of the doctors that if I want to labor in the shower, I better “stay at home as long as possible”. Hmm.

Because the hospital requires continuous monitoring, I am also not allowed to walk, squat, or otherwise change position at all because I cannot take the monitor off. Every resource I’ve come across says that changing positions can be the difference between tolerable and intolerable contractions, and that laying on your back is the absolute WORST and most PAINFUL way to labor. Well, that’s apparently the only choice I have.

I’ve been mentally preparing for the fact that labor is going to be hard and painful and will require a LOT of determination on my part, but that’s considering that I’d have the ability to labor in a way that would encourage or facilitate what I want/need. In my current situation, I’m fighting an uphill battle because I’m putting pressure on myself to do something that’s ALREADY so difficult, PLUS I have the hospital policy pushing back at me. It’s an uphill battle at best.

So what conclusion did I come to?

I cannot plan. I should not worry. I am as prepared as I can be, but I do not know what to expect, and I shouldn’t expect anything because it will only lead to disappointment if/when things don’t go the way I thought they would.

So I am still going to do my best to cope with the pain naturally using the techniques that I have been focusing on for months. But I am also trying to come to peace with the fact that I might feel I need pain medication, and that I shouldn’t hate myself or feel disappointed if I go that path. As it is right now, I know I will feel like an absolute failure if I opt for pain medication, but I realize I need to cut myself some slack because the hospital is literally making everything as backwards to what I need as they can, and there’s nothing I can do about that.

As soon as I said out loud to my sister that I should try to forgive myself in advance in case I DO opt for pain medications, a calm came over me. As long as Bu gets here healthy, I should focus on that and not HOW he got here, though I do still feel it’s so important to do my best and go natural for the both of us. I’m not 100% ok with being this flexible yet, but I can’t  regret something I haven’t even done yet, and if I DO do it, I can only use it as a learning experience for next time.

And by next time, I mean I am NEVER setting foot in an OB or hospital again when it comes to having children. I must find support for a more natural path here, otherwise I foresee all of Bu’s future siblings being born outside this city. This pregnancy has made so many beautiful things in my life, but it has also made me deeply dislike this city and it’s attitude, and I’d love nothing more than to give my children a chance to live AWAY from it and it’s influence.


Wednesday, January 22, 2014

Guest Post - "Cesarean SOLELY Due to Breech"

 In 2009, I was pregnant with my first daughter. It was a very uneventful pregnancy even though I gained about 50lbs during the 9 months making me 300lbs at the time of birth. She was head down from somewhere around 35 weeks till 42 and I was starting to dilate and efface. I went in to my 42 week OB appointment at which they did a U/S to check on the baby. Turned out she was had flipped to breech at 42 weeks.

It all happened so fast in the office, after they found out she was breech they wouldn't check me at all because suddenly now my only option was a c-section. The OB brought us into his office to talk about it and told me I was going to have a c-section because I was 42 weeks and she was breech, if she hadn't been breech they would have let me be. I started crying right there, I hadn't ever thought I would be having a c-section... I had a textbook perfect pregnancy and she had been head down!

I asked if there was anything we could do and I was told no. He told me to stop crying because I was crying for no reason at all but that didn't help, I knew this was a major surgery. I remember my husband commenting after we got out of there that he wanted to punch the OB because of how he was acting. He was very rude and made me feel stupid for crying when they told me I had to have a major abdominal surgery I had not been expecting. I cried off and on for the next two days, I was scared because I'd never had a surgery in my life and now I had to have this one. I had been looking forward to going into labor so I could meet my sweet little girl but now I was dreading giving birth.

When I showed up for the c-section they put me on monitors, checked that she was still breech and told me I was having contractions I just couldn't feel them yet. I was crying a little bit when she was born, I hadn't wanted it this way but she was healthy and I was going to be ok so I thought maybe that was all that mattered right then. I didn't find out about ECV (external cephalic version), spinningbabies.com or that I could have just not gone to the c-section because they can not do anything without your consent until after my surgery. I was so angry when I found out there had indeed been stuff I could have tried to turn her back to breech and avoided that surgery. I was angry that I never got to experience labor, I was angry at myself for having not switched OBs like I had thought about earlier in the pregnancy and vowed to never let myself be talked into another c-section.

I had learned that I couldn't just rely on the word of the people I was seeing, I had to research for myself these things and stand up for what I wanted so in 2013 I gave birth again this time vaginally because I had this previous experience my next one went exactly how I wanted. I didn't let anyone stand in my way, even went so far as not having a OB from 26weeks to 34weeks because the first OB tried to schedule me for a c-section at 40+3 days and I knew because of my older daughter that I likely wouldn't be going into labor till 42 weeks. I did what I had to to find someone who would support me properly so now I try to help other women out there by giving them the knowledge I didn't have during my first pregnancy to prevent them from having unnecessary c-sections.


Felicia is a mother of two little girls living in the Midwest.