Sunday, November 18, 2012

Scarlet's birth story. At home, in water, surrounded by lots of love and support

Scarlet's birth.  Finally!   This is only possible because an amazing friend of mine took the time to interview me about the birth, and type up my words beautifully. She knew I would probably never get around to it, so she took the initiative to help me record Scarlet's birth so I would always remember it. Thank you, Rachel Brown for this thoughtful, loving, wonderful gift!  You're such a great friend to me!  I'm very glad to know you.  (Rachel was invited to my birth, but through a Series of Unfortunate Events, and a lot of miscommunication, she didn't make it.  I hope that by her writing my birth story she got to feel as though she was able to take part in this birth after all.) 

So.  Here goes.  A year after Scarlet's birth.  Her birth story. Warning: it's lengthy.

This third pregnancy caught me off guard. I have to be honest that it began in a place of dismay. It wasn’t that pregnancy and birth weren’t on my mind—I’d just completed my doula training and had been so excited to begin attending births. Knowing I’d have a newborn in a few short months felt like being yanked back into the house again. I knew I’d spend a couple of months being miserably sick, and that my doula-dreams would be limited in the immediate future. Then I had a talk with my husband that lifted my heart—I came to realize that going through my own experience with natural birth would help me be a more effective, more empathetic doula. I would have my own memories and strength to build on instead of just philosophy. I began to see this pregnancy part of the fulfillment of my hope to empower women, not robbing me of those experiences.

I endured the wintry months and the wintry feelings (and pukey feelings) until they gave way to excitement and wonder. Finding out that I was carrying a girl brought new energy. I was having a girl! A GIRL! Part of me had fully expected to have all boys. On both sides of my family, boys are abundant and girls a rarity. “I only make boys,” I used to joke. Deep down I had a sweet secret dream for a daughter, but I buried it, not wanting to get my hopes up. When the tech announced the gender, it didn’t make sense and I almost didn’t quite believe it until I had another ultrasound that confirmed it. I was so used to boy names, boy sounds, boy toys and boy clothes littering the house, the thought of planning and buying clothes for a little girl made me giddy. I thought, I can put bows in her hair! I looked forward to seeing my husband David being gentle and compassionate with a daughter. When I think of that tenderness in contrast with the kids he works with, the damaged children without kind parents, it felt exciting. I wanted this new child, this little girl to feel secure and loved and cared for. I wanted that sweetness to belong to her.

Our big issue while planning for the birth was finances. We at first considered that it might be easier financially to birth in the hospital. I’d had my other children there before I had my “awakening” and although they were not particularly positive, I hadn’t had traumatic, awful experiences as some women had. I hemmed and hawed and chewed over the dilemma. The person who finally convinced me was my brother, the accountant. He crunched the numbers with me and determined that at the very least, birthing at home or in the hospital would cost the same for us—and, he explained, chances are that in the hospital I might want an epidural; that and other intervention could add to the cost. I liked being pampered in the hospital, I liked the attention and calling the nurse, having everyone come visit. Slowly that stopped mattering. After attending both home and hospital births as a doula, I couldn’t imagine laboring in that antiseptic environment. Harsh, cold, bright. The thought of laboring at home surrounded by everything I know that is comfortable was more compelling. I witnessed birth after birth and I saw how effective doulas were. I knew I was going to have a lot of support, a lot of people who would know how to help me. Hypnobirthing helped with my mental transition, too—I could let go of what my conception of “pain” had been and just experience it as intensity.

I was immediately drawn to my midwife, Lisa Pugh. She was incredibly warm, and I liked her energy. I felt comfortable and calm with her. Once I made the decision to birth at home, the whole pregnancy became a blur. Because we were building an addition to our home, I was busy every day cleaning and pulling up carpet and floorboards and tack stripes and renovating as well as taking care of my boys. At the same time, my body was working hard, putting the finishing touches on our other “new addition.” I kept scraping wallpaper, cleaning, designing, and praying I wouldn’t go into labor before we were finished, all through the months of September and October.

I attended a birth two days before my baby was born. It solidified that I wanted a home birth, and I was so glad not to be going to the hospital. I kept thinking that the mom could do this so much more easily if she weren’t surrounded by beeping and loud noises and bossy nurses who told her “Don’t you dare get out of that bed!” She was never left alone. I remember aching for her, thinking, if only she could be left alone without interference, she could discover what she’s made of. The hospital gives an easy out. I’d made the right decision for this birth.

The night next, Laura (my sister-in-law and one of my doulas) came over to do a fear release with Wendy (another sister-in-law and doula) and some other birthy friends visited—it was relaxing and fun. We never got around to the fear release, but some positive energy must have reached me somehow, because the next morning, November 5, I woke up with a backache. As I became conscious, it slowly ebbed away, and my groggy thoughts were, okay, am I in labor or…? It was definitely coming and going, very mild back labor. I decided to get some more sleep. It was not intense, but it was enough to keep me awake. I didn’t want to tell David yet because I wanted him to rest, too—he had a lot of work ahead of him, just like I did! He did wake up eventually to get one of the boys, and I told him to cancel work that day.

We went through the motions of our morning routine with the boys, since I could tell things were still really early. I created my birth soundtrack. It was a playlist of songs that seemed soothing and captured the “right” emotions for this labor. It wasn't until later that I realized I had chosen mellow, mostly female voices--Sara Barrellis, the soundtrack to Pride and Predjudice, Imogen Heap, Enya.. Throughout the morning I was very calm, able to interact with the boys and other people coming in and out of the house as the surges continued. I texted my mother and my phalanx of doulas (Wendy, Laura, Sarah, Erin, etc) to let them know where I was, and not to come over yet since I was still in really early labor. My mother and Sarah bounded over at the ready and seemed disappointed by my lack of urgency. They left, and then returned around 2 PM, when “things started to pick up” as they always say. Laura and Wendy did a fear release with me and I slept through most of it. I was trying to focus on my relaxation techniques, releasing tension. Every time I felt a surge, I would visualize something that would help me remain focused. My favorite visualization was me running towards a huge wave and letting it crash into me while thinking all right, bring it! It’s gonna be huge, ride it out and it’s gonna feel awesome. That image helped me remind myself, the surge is going to be big, but I will be on top of it and it’s going to rule!

Things get a little blurry from then on out. The intensity increased, with back labor and normal surges alternating. Baby girl was moving, trying to get in a good position. For most of the afternoon I lay down. Laura and Wendy had me lay down in the extended sims position. I loved that because it made my back labor go away. What I loved most about this time was that Laura, Wendy, Julia and Sarah somehow intuitively knew when I was surging although I wasn’t making any noise. They sat with me quietly, always right there to do massage and counter pressure. They were attuned to me during that time, with wordless, silent assistance and kind hands. In between surges, they stroked my hair and relaxed me. Someone was touching me at all times. I was trying to keep my mind clear and focus on the relaxation. Pushing the intense feelings away. Getting lost within the sensations. David hooked up the music and that was so welcome. Either Laura or Wendy suggested I change positions and I wanted to sit cross legged on the floor. Around this time things were getting even more intense. It felt like a wave of pressure squeezing me and everything was so tight. I couldn’t control anything that was happening, I just had to surrender to it. Around that time I started singing along with the music. I remembered watching a woman sing on a birth video and tried it. I sang “Gravity” and “The moment I said it.” Laura and sometimes David were singing with me, harmonizing and singing softly along with me. Singing helped me release tension and emotions. I loved it. I got lost in the harmony, the instruments, the surges, the voices.  Around that time, I started getting a buzz of endorphins and I felt like I wanted to marry everybody in the room. I was swimming in love for everyone, I was dizzy and woozy. This was the "birth high" I'd heard so much about!  I couldn’t wait for the next surge to come so I could get another flood of that feeling!

Lisa arrived and checked me; I was at a 5. She went out of the room and told Wendy and Laura that I was at a 5 but “super rigid.” She suggested that a little something (or a little somethin’ somethin’) to soften the cervix couldn’t hurt. Wendy came in and although I was “surging out of my mind” she ordered me to spend some quality alone time with my husband. Then everyone left and went to lunch. I was overwhelmed but intrigued by this idea. I’d never envisioned myself as the type of birther who passionately makes out with her husband during labor, but when I first started having kids I’d never imagined having an unmedicated birth at home, either, so why not go for it? I was determined, but hesitant. David saw this as a natural extension of his duties as birth partner and nobly stepped up to the plate. Making out during surges wasn’t the most comfortable thing ever, but I became so obsessed with kissing my husband in my vulnerable state. It was so warm and loving. He was so sweet to me and I was so crazy about him, and only a little embarrassed that everyone at lunch was probably speculating about us.

We must have created some potent endorphins, because very quickly, my labor became much stronger and I panicked because I’d been left alone. Where was everyone? The next couple of surges were a little scary because I had a tiny bit of fear creeping in. I didn't think I could do it without all my supporters.  My "wood nymphs".  David was holding my hands and talking me through it. Suddenly Sarah showed up and rushed in. She sat down behind me, grabbed me and pulled me in really tightly, like a full body hug, and that grounded me again. I was so relieved! I thought, I’m not alone in this! She held me so I wouldn’t fall apart. There was something powerful about her just having birthed Karina a couple of months before, and I was her doula then, something tender between us. Women should help women birth.

People started to file in. At another point soon after, I was leaning over the birth ball and uncontrollably shaking and crying. Julia or Erin said "is she okay?" someone answered "That’s transition." "She’s crying!" "Yeah, that’s transition." I had the endorphin buzz again but was still crying and shaking really hard. I remember thinking, oh dear, things are getting really intense. I’m hanging on. Crying felt so amazing, a cleansing release of whatever I had been holding back. David kept trying to get me to eat and was annoyed that I could not have been less interested in eating. He brought me salads and smoothies and ice cream and honey. From my perception, I thought I was eating a ton and wanted him to stop shoving stuff down my throat; he was worried because I wasn’t eating more and wanted to ensure I didn’t starve. Cutie.

My memory gets even fuzzier from here on out, but I was aware of them filling up the tub in my bedroom. The thought of lifting my foot over the edge gave me anxiety. I sort of lost touch with reality at that point and lived in the moment and tried to handle whatever was coming. I managed to get in the tub, and David got in with me. I thought, what’s he doing? We hadn’t talked about it, I was little alarmed but then very relieved he was there shortly after that. I felt the warmth of the water relaxing me a little more.
Doula hands.  Lisa, my midwife is at the far right.
 



Soon, the water was too hot. I got so hot, someone got a cold cloth and David would place it on my back, then take it off and blow on my skin. That was the most amazing thing of my life at the time. Lisa asked if I wanted to be checked again and the thought was unacceptable. I couldn’t stand it. She never pressured me, I said no and that was okay. I loved that. I knew I’d get hung up on the number if it wasn’t what I wanted it to be. I lost track, I started feeling like I needed to die and someone needed to do it for me. No one could, I knew I had to do it, I felt disparaged. I screamed "Lisa help me! Get it out! Take over for a minute!"  When I think about it even now it takes my breath away, how I was almost suffocating in those surges. I was making lots of noises. Moaning, ohhhmming, David would join in occasionally on a harmonic note, the vibrations connected us, and I could focus on that instead of the intensity. Occasionally a note of desperation would leak through, but there was always someone there to ground me and bring me back. Laura said “This is going to be really big, just let it be big, accept that feeling.” During all this, they were constantly at my sides, kissing my face and stroking my hair. I felt carried, understood, deeply loved. There was one point where I managed to make a joke. Laura mentioned that her back was hurting and I said “Oh Laura does your back really hurt? I bet you’re really uncomfortable aren’t you?” Everyone laughed and I felt proud of myself for being able to recognize humor. Someone joked, “Oh Laurel, you’re still with us!”

 
I loved having David right there behind me in the tub. Every time I could relax between surges, I collapsed against him and he held me up. If he hadn’t been there I would have sunk into the water. I treasured those breaks so much, I had a couple of times where I had a significant amount of rest and I gloried in it. My whole life boiled down into those few seconds not surging. I was unaware of the almost dozen people in the room; some I didn’t realize were there until I saw the pictures later. Everyone was tuned in with me, focusing their energy right with me. I was disconnected from the scene, so deep within my body, and the details from the memories coming back are like little flashes. I remember things here and there, I have memories of Laura rubbing my shoulders, Wendy smoothing my forehead, Sarah fixing my hair and wiping my forehead down. I was vaguely aware of people kissing my face. There was one point I knew Katie was taking pictures and angled my face towards her. Maybe it was the performer part of my soul, but I had just enough presence of mind to want those pictures to come out.

 

I never really felt the pushing urge. Even with an epidural during my boys’ births, I had felt that urge intensely and unmistakably. I think at that point in this birth, I needed something different to concentrate on than just enduring the surges. So I started pushing, and it was difficult to know if I was even doing it right. I was not processing a lot, just very suggestible. I became desperate and frantic, I checked the station of the baby on my own and she felt so far away, to my knuckle. I’m not making any progress! It was maddening. She was still so far away. Second knuckle. It wasn’t close enough; I still had so far to go. Suddenly, her head shot through like a cannonball, the most intense pressure I’d ever felt, then I felt like I needed to push. I heard someone shrieking a high pitched shriek and it took me a moment to realize it was coming from me. It was so primal and instinctive. Laura said later, it was like my butt was screaming out of my throat.

Her head was out of the birth canal, resting briefly between the bones and the skin (which was the craziest thing! Everyone said they’d never seen that happen before.). I felt that instant stinging and I knew if I pushed as hard as I wanted to that I would tear, so I panted and held back until Lisa said I could push again. Then the head was finally out. It would be smooth sailing from here, right? Her shoulders were still inside. Lisa told me to push to get the shoulders out and I couldn’t believe what she was suggesting, I thought she was insane. Just pull her head, just get her out! Suddenly the shoulders were out and I felt an immense relief.


When the baby came out I was almost confused. I looked at this slippery, squishy, purple-faced person little person, and it seemed impossible that she was really here, this was my baby girl. My little girl. I’ve had babies before, but I’ve never been that intimate with them right away because both my sons were taken away from me so quickly. It was too much to comprehend. All I could do was mumble, “She’s here, she’s here!” I could barely hold her up out of the water. I was so exhausted, but at the same time I felt amazing. Did I just do that? Did that really just happen? Did I really just birth a baby in a tub in my bedroom, with no drugs?


 The whole day seemed like a miracle: the singing, the making out, Sarah holding me from behind, my loving, knowledgeable doulas Laura and Wendy, everyone who came and stayed for hours and hours, loving me, consoling me, cheering me on and breathing hope into me when I doubted. I couldn’t believe it. I needed a minute to process what had just happened and I felt offended when they told me to push out the placenta. Are you kidding me? How dare you ask this of me!  With a little effort (and more than a little whining from me) The placenta was born, and Lisa made the comment that it was really heavy. Getting out of the tub was so hard, I felt like I had no muscles. I was a floppy ghoul girl; I was so weak and spent. I crawled on the bed to rest and my sister Erin lay behind me to hold me up.  The baby nursed instantly and was very calm from the moment she was born.


While I was resting and getting examined (No tearing!!), I started to hemmorhage a little, so Lisa gave me a shot of pitocin to clamp down my uterus to stop the bleeding.  Sarah brought me a homemade fresh mint milkshake and my mom brought me some bottled fruit.  It was some of the most delicious tasting food I'd ever had. 
 
After I was cleaned up, Zackary was sent in to see his little sister for the first time.  He looked so excited and awestruck.  I'm glad my friend and insanely talented friend, Katie was there to capture that moment.  He kissed her and touched her and excitedly said "She has her own bones!!" Someone asked him what her name was, and he announced "Scarlet"  (although we didn't settle on that name for sure for about a week.  Zack knew). 

 


 

 
Total labor was 15 hours, 6 active. Scarlet weighed in at 10 lbs, 4 oz., 21 inches long, 14 inch head.  My recovery was very quick and if I was to have another baby, I would without question do it at home again.  I found what I was made of that day, and it surprised me.  This birth was much more intense, beautiful, powerful, difficult, and emotional that I could have ever known.  I'm forever changed because of it. 


*All photographs courtesy of Katherine Loveless   www.katherineloveless.com

I never said I was good at this blogging thing

It's time.  I'm working on a new post.  I'll be posting Scarlet's birth story very soon.  Never mind that the last post I made was just before I found out I was pregnant with Patrick, and I've since had 2 babies.  So, it's only been, what?  4 years?  I'm a major slacker.  Ah, well.  At least I know it.  Stay tuned.