VBAC Documentary: Trail of Labor

This is a must see! I can’t wait until it comes out so I can watch and cry with each of these women as they fight and hopefully overcome the internal battle we face as cesarean survivors and the external battle of trying to birth naturally when the system seems to go against it and there are piles and piles of misinformation scaring women into repeat c-sections.

TRIAL OF LABOR

by Robert Humphreys / Dr. Elliot Berlin

 

From Vbac.com, “Two fathers, Robert Humphreys, an independent, award winning film maker and Dr. Elliot Berlin, a Chiropractor specializing in alternative prenatal care, set out to make a documentary film about the VBAC Ban in U.S. hospitals and its impact on the physical and psychological health of women who want to birth naturally after a prior cesarean.”

The Story

Four expectant mothers, from completely separate walks in life, came late one November  to the offices of Dr Elliot Berlin. They had a few things in common; they had undergone C-sections, were all pregnant again, and were determined to try and birth vaginally. They had individually sort the education they needed to tackle this task and decipher the truth in what amounted to a tidal wave of misinformation, coercion, skewed medical policy and insurance limitations.

Trial Of Labor is the documentation of their highly emotional journey to attempt what nature intended: to simply birth naturally.

Film Website

My Birth Stories:

My First Birth: Cesarean for Breech
Amelie’s Birth Story – My lovely HBAC

Support

International Cesarean Awareness Network
ICAN’s Online Facebook Page

 

Want to subscribe? Click here. Or follow me on my facebook page, Paa.la

Sweet link: Teaching Kids About Natural Birth, VBAC, and More

Just came across this sweet link…

There’s a Doll For That: Teaching Kids About Natural Birth, VBAC, and More – LilSugar.com

I think they are all so wonderful, like the Attachment Parenting doll with the snaps for nipples, and the VBAC doll is such a wonderful idea. It is fascinating to me. What a fabulous idea for all those mothers out there who have had both a cesarean and a vaginal birth and want to teach their children about it, where their siblings came from.

What do you think? Would you use one of these as a teaching tool for your children?

Sweet Links for today…5 Lies Moms Tell Each Other, Haters of NIP, & VBAC news

Wednesday already! Oh wait, or is it Thursday? I hate how it is hard to keep track of the days when I’m not sitting at a desk all week. Yes, I miss the office sometimes. And no, raising kids isn’t like being on a perpetual vacation or weekend. Things get crazy around here. That phrase is code for “I am overwhelmed and stressed out by the kids and life in general sometimes or most of the time, ok?” Why do we lie to each other, my fair readers? And what do we lie about? Read 5 Lies Moms Tell Each Other – On Babble

Are you telling the truth?

And today I was called a zealot, for the second time in the last couple weeks, by some random stranger who didn’t understand the importance of and the legal right of a woman to nurse her child in public. I’m not surprised by this, as many people do not understand that breasts are actually for nursing our babies, and that it isn’t anything that needs to be hidden away. It isn’t like urinating in public, the favorite claim of idiots, or like having sex in public. Yes, breasts are sexual objects sometimes but really, they are for babies.

If you are like me and have been nursing for a while (26 months straight and counting!), when you are offended by people who insult nursing mothers or read silly articles like this and watch their video featured of kittens & boobs, you can’t help but laugh. (My toddler LOVED that video, by the way.)

Anyway, back to the NIP hater. The story in the news today is about Grace Cafe, a small business in Bellingham, Washington, that decided to post a rude comment on their Facebook page about a woman nursing her child. The child was a toddler (read the benefits of extended nursing if you’re confused by why a toddler is nursing) and wasn’t covered. Oh.my.goodness. Call the police on that shameful mother!!

What exactly did they say?

“We fully support a mother’s desire to nurse her child, but we would appreciate it if you would use discretion by covering yourself. Thank you.”

At first, maybe it doesn’t sound so bad. But yes, it is pretty bad. Grace Cafe and anyone else who thinks it is up to them whether or not a mother covers or not does NOT support nursing mothers. Asking mothers to hide themselves and their children, shelding them from public viewing, is against the law, anti-breastfeeding, and misogynistic.

Why do people think they can decide if a mother can nurse uncovered or not? Grace Cafe has since apologized for their mistake after their post ruffled quite a few feathers, as nursing in public, covered or not, is protected by law. And they have deleted the post, no doubt because of all the bad press they brought on themselves. Read more at The Good Letdown.

This random person who called me a zealot, who claimed to be a regular at that cafe, attacked mothers who don’t cover while nursing, calling them immodest. Who here has ever tried to cover a child over the age of 6 months? Raise your hands! You know it is nearly impossible. And then this person decided to tell me that the elderly need to be protected from the vulgar act of breastfeeding. What?? How could anyone ever claim that older people need to be shielded from this? They’ve been on this earth for 60, 70, 80 plus years and some people think they can’t handle seeing a baby eat what they are meant to eat? And other people claim CHILDREN need to be shielded from this lewd act. Are you kidding me? Are these people really serious? How can people be so out of their minds??!! I’m getting a little worked up, as I’m sure you can tell, but I was perfectly polite to this stranger, except that I disagreed with her view of the world. I am not a zealot because I care about a mother’s right to breastfeed any place a baby is hungry and because I know that it is the mother’s decision to cover or not.

After reading The politics of nursing in public: haters gonna hate – by The Deranged Housewife, I felt a little better. Check it out.

Photo credits: Teresa Henderson/Michelle Hickman/Becky Wheeler

And, of course, I always love news on VBACs. Read California Reseachers Call For Fewer Cesareans and More VBACs – by Nicette on Vbac.com. This was so good, I had to share the whole thing.

In a recently published White Paper by the California Maternal Quality Care Collaborative researchers in California confirmed that the high number of cesarean sections performed in the United States and in California put mothers and babies at increased risks and add significantly to healthcare costs with little evidence of health benefits.

The report also confirmed that there are psychological costs that are often overlooked. Postpartum anxiety, depression,  and post-traumatic stress disorder (PTSD). Cesareans affect maternal-infant attachment and breastfeeding as well.  The cesarean rate in California and the United States increased by 50 percent between 1998 and 2008. It rose from 22 percent to 33 percent in ten years. Researchers found no data to document any population-level benefit to mothers or newborns associated with the  increased rate of cesareans.

The authors state, “Today providers seem to see no ‘downside’ to a high cesarean rate; and women seem increasingly accepting of the prospect of a cesarean.”

California healthcare payers pay hospital charges of $24,700 for a cesarean compared to $14,500 for a vaginal birth. The authors state physicians, healthcare payers, employers who pay for childbirth costs, and public health officials are not aware of the “disconnect” between the amount of dollars spent and the health outcomes in U.S. maternity care.

The authors of  Cesarean Deliveries, Outcomes, and Opportunity for Change in California: Towards a Public Agenda for Maternity Care Safety and Quality found that the increasing cesarean rates can be attributed to two main reasons: cesareans performed on mothers having their first baby and the dramatic decline in VBACs.

The number of cesarean performed during labor vary widely and reflect individual physician discretion rather than clear medical indications.  In fact researchers found that 90 percent of the variation in cesarean rates during labor is due to only two indications: failure to progress and non-reassuring fetal heart tones (fetal distress).  The number of cesareans performed for these two indications vary widely and depend on the physicians’ individual response to these two conditions.  Attitudes of physicians and nurses on the labor and delivery unit also play a part.

The White Paper showed that overall, hospital cesarean rates in California varied from 18 percent to over 50 percent of all births. Hospital cesarean rates for low-risk mothers giving birth for the first time varied from 9 percent to 51 percent. More recent data showed that in 2009 hospital cesarean rates in California varied from 16 percent at Sutter Davis Hospital in Davis to 68 percent at Los Angeles Community Hospital.

The Joint Commission, an independent, not-for-profit organization that accredits and certifies more than 19,000 health care organizations and programs in the United States, states, “Hospitals with CS rates at 15-20% have infant outcomes that are just as good and better maternal outcomes. There are no data that higher rates improve any outcomes, yet the CS rates continue to rise.” 

The argument has often been made that hospitals with high cesarean rates have a higher proportion of high-risk births and that rising cesarean rates are due to “maternal request.” This report clearly shows that there is no foundation to these arguments.

With regard to the decline of  VBACs, researchers say it will take persistent pressure from childbearing women and advocates for evidence-based practice in childbirth, public reporting of  hospitals who support VBAC and increased awareness by childbearing women about the safety and benefits of VBAC. Citing a national survey  of women’s experience of childbirth, the authors found that reality-based television shows on childbirth and many websites send an incorrect message that cesareans are easy, pain-free, and risk-free. Most women have very little knowledge of  common hospital procedures and their impact on the normal progress of labor.

Based on interviews of California careproviders, the report found that VBAC is also “not popular” with physicians due to the longer time commitment needed for a vaginal birth and their perception of increased liability.

“Whatever the motivation for today’s more ‘defensive’ approach to delivery,” the authors state, ” it is not resulting in better outcomes for babies or their mothers.”

The White Paper is an extensive and insightful study of the rising cesarean rate in California, the health risks of surgical birth, the medical factors driving the trend, and the socio-cultural factors that keep cesarean rates high. It also dispells several myths about cesarean section.

The report includes a valuable, multi-faceted response to reducing cesareans. Strategies include, quality improvement measures, examining hospital practices that lead to cesareans, public reporting of hospital cesarean and VBAC rates, payment reform, and an education campaign to increase awareness about the short- and long-term health risks of cesareans for mothers and babies.

The authors make a  strong recommendation to use several facility-appropriate approaches at the same time since many of  “these interventions interact positively with and reinforce each other, making the whole greater than the sum of its parts.”

The White Paper is a collaborative report by researchers from the California Maternal Quality Care Collaborative, the Pacific Business Group on Health, and the California Perinatal Quality Care Collaborative.

My Thoughts on Birth: Breech & VBAC…to be continued

Birth Matters. Speaking at the Improving Birth National Rally for Change, 2012. Photos by Sweetness and Light Photography.

If you know me at all, you know that I am passionate about birth. I grew up in a more conservative part of the country where birth is highly medicalized (OK, that is most of the country) and let’s just say that I am happy that I was able to grow past that and make up my own mind about birth. But it did take a (medically unnecessary) cesarean due to breech presentation to really kick me in the pants and start my search for the truth about birth.

What do I think is the truth about birth? I’m not sure how to put it all into words. I know now that it is nothing to be afraid of. Birth is wondrous. The pain of natural childbirth is something to learn from, not run from, and birthing naturally, free of interventions and medications, is absolutely the best for mother and child. I believe a pregnant mother should do everything in her power to educate herself about all of the options for prenatal care, labor, and delivery, and her care providers should do everything in her best interest, not theirs or their insurance carriers. Care providers should help enhance a woman’s ability to birth naturally. I believe our current, widely accepted model of medically managed childbirth needs to be re-evaluated.

I also believe that births do not always need to be done in hospitals or even birth centers. Birthing at home, or wherever a mother chooses, is her right as well. As is picking who she decides will best assist her in her delivery, from an OB to a CNM or CM, to LM, DEM or doula, to just her partner. Or, GASP, just herself. Unassisted birth is actually more common than one would think. But I digress and the hippie in me is probably scaring some people away.

I believe that there is definitely something wrong with our society and our hospitals if we think a national average of 32.8% cesarean rate is acceptable. It is mind boggling to think that nearly one-third of the 4,000,279 babies born in 2010 were born via c-section, higher than rates in most other industrialized countries.

And the rate is even higher in many states, ahem, and the highest being 39.6% in Louisiana.  Especially when the national average was a mere 6.5% in 1965. The greatest jump was between 1996 and 2007, when the rate rose by 53 percent. Why the jump? Babies and mothers did not all of sudden need to born surgically. Studies show that a 5 to 10% cesarean rate would be optimal and the World Health Organization (WHO) recommends a rate no higher than 10 to 15%, so why the drastic increase from the 60s until now? Many reasons. And even more reasons. And more. Among the most appalling reasons, the shocking fact that many doctors are no longer trained to deliver breech babies due to hospitals no longer carrying insurance for breech births based on old studies, and that many hospitals go against current recommendations and do not allow VBACs, more concerns over possible malpractice lawsuits and insurance related issues. Why are the insurance companies telling women how to birth babies?

I’d like to start with this statement about breech birth: “The management of preterm and term delivery of fetus in breech presentation is one of the most disputable issues in modern obstetric practice.”

And I might add that VBACs are also quite controversial, though neither should be.

If you are thinking, “Wait. What? Surely the doctors and the hospitals are right. It is widely known that VBACs and a vaginal breech deliveries are not safe and c-sections are the safest way to deliver those babies. Everyone knows that babies are saved by c-sections!” I have some happy news for you. Although I do agree that many babies ARE saved by medically necessary c-sections, many do not actually need medical interventions to be born.

Crazy, right??

Evidence points towards vaginal birth being just as safe, if not safer, than cesarean birth in the case of breech and VBAC. Want some proof? Let’s work through breech and VBACs separately. This study on breech deliveries finds “there is no difference in neonatal mortality and morbidity between the having a vaginal breech birth and a cesarean, and there were fewer maternal complications in the planned vaginal group than in the elective cesarean group.”

The term breech trial that concluded that cesarean delivery was safer for breech babies has come under question. The data was flawed and the study recommendations, that breech deliveries are safer under the knife, is just plain wrong and thus has harmed thousands of mothers and babies by putting them in a dangerous situation, forcing an unnecessary major surgical procedure that includes serious risks to mothers and babies, and thinking there are no long term effects. “Most cases of neonatal death and morbidity in the term breech trial cannot be attributed to the mode of delivery,” because “there was a lack of adherence to the inclusion criteria. There was a large interinstitutional variation of standard of care; inadequate methods of antepartum and intrapartum fetal assessment were used, and a large proportion of women were recruited during active labor. In many instances of planned vaginal delivery, there was no attendance of a clinician with adequate expertise.” 

What does this mean? The deaths attributed to the mode birth, for vaginal breech birth, are not black and white. Many of the deaths were not, in fact, because of the baby’s presentation at birth. They were for many, many other reasons. And most of those reasons were probably preventable.

As for VBACs, they are safer than having repeat cesareans. Period. Worried about uterine rupture? Don’t be. Out of 114,933 deliveries in this study, there were NO maternal deaths. And although there were 2 infant deaths (2 0f 114,933 deliveries is a 0.0017%), one of the deaths the mother had a previous cesarean, one had no previous cesarean. A uterine rupture can happen to a mother with or without a previous cesarean and the fear of having one shouldn’t deter a mother from pursuing a VBAC.

All of this is very interesting, don’t you think? After reading a few more birth studies on VBACs and breech births, I was interested to read in one of the breech birth studies, where it lists guidelines for the doctor on how to deliver a breech baby naturally, that the medical world, in theory, knows that “a woman’s choice of delivery mode should be respected.” It continues, saying that if a mother turns down a cesarean and chooses to labor and birth naturally, she has “a right to do so and should not be abandoned. They should be provided the best possible in-hospital care.” The study asserts that not only should a mother’s choice be respected, the doctors should be trained better to assist her. “(III-A) 26. Theoretical and hands-on breech birth training simulation should be part of basic obstetrical skills training programs such as ALARM, ALSO (Advanced Life Support Training in Obstetrics), and MOREOB to prepare health care providers for unexpected vaginal breech births. (III-B).”

If a baby presents itself in breech position at birth in 4% of all pregnancies, shouldn’t all doctors and birthing professionals be trained in birthing breech babies? Of course!

I whole heartedly agree that it is a tragedy to lose a baby during birth. But it happens. It is a part of life and death. But what If something can be done to save a baby? A mother should do whatever she can to save the baby right? Well, yes, I’m not saying she should ignore a live saving procedure but it is one thing to have an emergency during labor that actually requires this type of intervention and another to have a doctor tell a mother a cesarean is necessary when it is not. I am thankful that I have never felt the pain and heartache of losing a child during pregnancy or birth but I am not inexperienced with pain and loss. I have lost a mother. I have felt the pain of cesarean. The anger, heartache, and anguish from feeling like I was not respected and not informed by my doctors of my rights during labor. It was my right to choose the way I gave birth to my first child, my breech baby, and it was taken away before I even knew it was mine. I was not able to birth the way I wanted because the doctors informed me of their recommendation like it was medically necessary. It was NOT. That is called coercion, my dear readers. And we all know lying is bad. A breech birth is absolutely normal and natural. Just ask the women who have been giving birth for millions of years. And those brave mothers today that still birth their breech babies, despite having the cards stacked against them.

One of these days, perhaps decades from now but hopefully by the time my daughters are ready to give birth to their own children, doctors will actually follow their own written word, respect a mother’s choice, and know that 33% of babies do not need to be born with scalpels. Or that home birthing will be more accepted, perhaps account for 50% of births in this country instead of 1%. We should take notes from the Netherlands, where home births are a common option for women with low-risk pregnancies, and 30% of all births occurred at home in 2004 (Euro-Peristat, 2008).

Birthing naturally should not have to be a fight. Birth is beautiful. Here’s to looking forward to a brighter future.

 

Resources & Good reading:

“Routine use of caesarean section for breech presentation is widespread. However, poor outcomes after breech birth might be the result of underlying conditions causing breech presentation rather than damage during delivery.”

My posts on Breech:

Want to subscribe? Click here. Or follow me on my facebook page, Paa.la

Amelie’s Birth Story – My lovely HBAC

First, let me say that my birth story is very long and incredibly detailed, mostly for my own sake. If you’re not used to reading birth stories, you may want to brace yourself or don’t read it! It was featured on my favorite birth story site Mama Birth, here: A Home Birth VBAC! A Must Read.

Amelie was born at our home in Northern California in our bed at 5:46pm on Tuesday, August 30th after nearly 19 hours of labor. Getting to that point was a long journey, starting with the traumatic unplanned cesarean birth of her sister, my first child, 21 months earlier.

The short version of my first birth was that my daughter was breech the entire pregnancy and during our second external cephalic version attempt at our hospital, they informed me that they couldn’t touch my belly to try to flip her because I was in labor, had been having regular contractions for a couple of hours and was 1 to 2 cm dilated. This was a complete surprise to me. I didn’t feel anything. I was then informed that my options were to have a cesarean right then or come back later that day and have an emergency cesarean. After talking it over with husband, we decided to just have the cesarean right then. Little did we know those were NOT our only options, just the hospital’s options on that Friday afternoon in November of 2009.

They had a no vaginal breech policy and rather than tell us that we could have tried a few other things, like going to another breech friendly hospital, or seeing if the baby would flip before birth naturally because I might have a couple days to go, or any number of other options, we were told a cesarean was our only option. I was very quickly separated from my husband, strapped down to a cold table in a bright room chock full of strange doctors in blue with face masks, given an epidural headache that made my head feel like it was going to explode before they adjusted it, and finally, as I was about to start crying, my husband was allowed to enter the room. He held my hand and stroked my face as I smelled my own burning flesh, felt rough pushing and pulling in my abdomen, and felt her taken from me.

I stared into his steady, loving green eyes, mine wide with fear. His eyes were the only thing that helped me through it. I couldn’t see the birth. I don’t remember hearing her first cry. I wanted to see her face but couldn’t. My daughter was brought over to me after they had done their initial review and wipe down, all red and awake. I felt like I was in a bad dream. I wanted to nurse my child immediately but the bonding experience had to wait until they finished closing me up. I had to wait at least half an hour to begin breastfeeding.

The constant parade of nurses in the middle of the night during our two night stay was uncalled for, unnecessary, and just plain rude. None of the nurses showed love or warmth towards this new person in the world. They handled her like a piece of meat. I wasn’t allowed to eat any real food for a whole day after the birth. I got a UTI from the catheter. Nothing about my hospital stay was welcoming, warm, or friendly for myself or my daughter. How could that be “normal” when everything seemed so wrong?

After my unplanned cesarean birth, I was left with regret that I had not made myself more informed about breech birth and explored every single option to get her to flip or had just tried a vaginal birth anyway. I secretly felt shame, like I was not a real mother because I gave up and let someone else tell me how cesarean was necessary for breech babies, even though breech babies have been born naturally since the beginning. I felt like I had let myself and my child down. I couldn’t talk about how terrible my experience was with family or friends because I felt like the trauma of my experience did not matter to them. As far as anyone else was concerned, my baby was healthy and thriving so I should not complain. At mommy gatherings I wished I could talk about my birth story like my friends who were proud of theirs. I could only feel sadness for those that had unplanned cesareans as well and felt jealous of those who had vaginal births, drug free or not.

When we decided to have our second child, I knew that I wanted a completely different birth experience. While we were trying, I began looking into having a vbac and then looking into a hbac, a home birth after cesarean. A hbac seemed like the most natural way to go, where I would be surrounded by those that I loved and chose to be there, where myself and my newborn would be treated with love and respect and given individual, undivided attention, which was exactly what I wanted. I found out I was pregnant with my second child on my mother’s birthday, December 12th, of 2010. The day was special because I think she gave me a gift on her birthday, even though my mother is no longer with me, having died suddenly and unexpectedly less than 6 months prior. Anyway, I knew that I wanted a home birth and my husband agreed. We decided not to tell our family, in case they did not agree and would be negative about our plans. I began my search for our midwife in January and interviewed our perfect midwife in February. We clicked over the phone and things seemed even more perfect in person. I was confident in her experience, low hospital transfer rate, hbac rates and I knew that her calm, soothing personality would be exactly what I needed to help me move past my anger and hurt from my first birth and allow me to be as relaxed as possible during my prenatal care and the birth with my second child.

Over the following months, I began to feel more confident and secure in myself, my ability to birth naturally, and my birth team. I re-read all the books from my first time around and gathered new ones on home birthing and natural childbirth. I read natural birth stories blogs daily and watched homebirth videos. My midwife visited me at home for all of our appointments, gently touched my belly, and spoke to my unborn child with sweetness and respect, and we talked for a couple of hours each visit. I didn’t have any unnecessary tests done on myself or my baby, monthly vaginal exams, weight checks, or anything I didn’t research and consent to. I valued the holistic care she provided.

My due date was August 21st and by my 41 week appointment on the 29th, I started to worry. Were my dates wrong? Would everyone start freaking out at 42 weeks and then I’d need to have a hospital birth? My midwife and I carefully reviewed my dates and decided to change my due date to the 24th. Perhaps just that little due date nudge allowed me relax about letting things start when they were ready and I started feeling contractions that night. Boy, was I excited! The day was finally here that I would get to meet my new little girl and experience my first “real” birth and join the ranks of mothers who knew what it felt like to push their baby out the way nature intended and to hold their baby in their arms after climbing that mountain of labor. On August 29th around 11pm after puking up pizza I shouldn’t have eaten, which also cleared out my bowels, contractions started coming every 5 to 6 minutes apart and lasting a minute to 90 seconds long. These were real, I knew it, because I’d never felt them before. I felt a little warning when one was coming, a quick build up, then intense twisting and knotting in my abdomen. Then the sensations died down and everything relaxed until the next wave. I didn’t want to tell my husband right away in case it was a false alarm, but I started drawing out my labor chart to help me visualize how every stage was going to happen, how I would get through it. Then he realized something was up when I got in the shower. My 21 month old daughter woke up at 1am with the noise and excitement and refused to go back to sleep. We filled up the pool in the dining room while Gone with the Wind was playing on Netflix.

During that time, I was losing some of my mucus plug. I eventually got out of the pool and crawled into bed because I was starting to feel pretty exhausted, having only gotten a couple hours of sleep before contractions started. I texted my midwife about the contractions around 5am, rather than call and wake her since I was still not sure they were serious yet since they had slowed down to 10 to 15 apart. My daughter had not been able to go back to sleep by that point so by 7am I decided to nurse her to sleep and the intensity of the contractions immediately became overwhelming and I freaked out. My body did not seem to be ready to handle that level of pain yet so I panicked and I ran down the hall, like I could run away from my pain. Things then began to slow down so I tried to sleep while my daughter was napping but was not able to pass out for longer than a couple minutes at a time because I was still having contractions that woke me up.

I called my midwife to check in around 9:30am that morning to let her know how I was doing. By 11am I felt the contractions becoming much more intense and I couldn’t figure out how to cope with all that pain in my uterus in any other way than to flop down on my elbows and knees, rocking, and moaning or screaming. I couldn’t believe I’d turned into one of those screaming laboring women when I was hoping to have a blissful birth. I kept telling myself that I should not say they are “painful” because every book I’d read said I should be able to think of them as waves or intense sensations or something. They were “not painful”, the books claimed.

I got in the hot shower and bath to get some relief but it didn’t seem to help much, as I kept having to flop down on my hands and knees and the water level was too low for my belly. I started feeling worried that the baby was coming soon when my husband went to take a final at school around 1:30. I was at the house alone with my toddler. I tried to eat some pasta and vegetables to keep my energy up. I called my midwife at 1:41 and said I needed help and she said she would be there in an hour. Are you kidding me? An hour?! I thought she would come too late and I’d have to have the baby by myself in the bath. Thankfully, my husband came home around 2:00, skipping his test when he realized I was farther along than he thought and we waited for my midwife. I continued screaming through contractions while in the bath tub. My daughter kept popping her head in the bathroom, looking concerned, and then leaving to play.

My midwife arrived while I was still in the bath, just before 3pm. I welcomed her by puking up most of my lunch in a bucket. She brought a sense of calm and soothing that made me feel like everything was going to be okay. She listened the Amelie’s heartbeat, checked my blood pressure and heartbeat. All was just as it should be. I felt like I was done with the shower and moved to the bed. I asked that she check to see how far along I was. She checked and said I was at around 6-7 cm dilated. This was discouraging because I felt like I was very far along and now being told I was only 6 to 7 cm dilated made me think I still had many hours to go. My husband called his brother to come pick up our daughter sometime around 3:30. She was doing well with my laboring still but was distracting me by climbing on the bed and climbing on my husband’s back while I was leaning into him during contractions.

I was having a really hard time and I felt like I couldn’t do it anymore. I wanted all the pain to go away. I wanted to give up and go to the hospital for drugs but I didn’t say this out-loud. I just kept saying, “No, no, no” and “I can’t do this anymore.” My midwife and my husband kept telling me I could do it, that I was doing it. I kept my eyes closed most of the time, trying to tell myself to relax and float above all of this. It did not work. I was present in the pain. The only thing that helped me get through it was my husbands strong shoulders, which I threw myself against while a contraction would come on and rock myself on with his back taking the brunt of my weight. My brother in law arrived at 5 to pick my daughter up, having not realized we wanted him to come quickly when we called, not a couple hours later. (I found out later that he was in the middle of a long run and had to run several miles back and then come over.) The assist midwife arrived at the same time. I puked up the rest of my lunch and all the coconut water I had been drinking.

Then I started feeling like pushing while having a contraction felt better than not pushing, and I knew Amelie was starting to come out, lowering herself. I felt a great pressure in the vaginal area, which felt very different than contractions. My midwife checked me again at my request and said I was fully dilated and good to push! I was so relieved to hear this but her check brought on another contraction so I couldn’t enjoy that thought for longer than a second. I went from 6-7 cm dilated to fully dilated very quickly, less than an hour. I felt like my butt was going to explode and I knew I was giving myself hemorrhoids but I couldn’t figure out how to push without pushing that area too.

The midwives made warm herbal compresses and pressed them in the right places. My middle to lower back was starting to send signals of intense, sharp pain and I felt like my back was going to snap. I cried out and felt hands massage my back and I would instruct them to massage lower or higher or “get away!” I was feeling hot then cold, hot then cold, instructing that the AC be turned on then off and back on again. I spoke in single words, demanding water. At some point around here I remember telling my husband that I didn’t want any more kids. I was dead serious. I was not joking.

This bearing down went on for a what seemed like an eternity, but really was less than an hour, and then I felt a pop and a gush. My water had broken! I knew it was almost time. It kept gushing at each contraction and I felt them intensify. Everyone kept telling me that my body was doing exactly what it needed to do. I was doing perfectly. It sure didn’t feel perfect. I wondered if everyone’s labor was this terrible or if I was just that lucky. I was wet from my water and the bed was gross and covered in pads that kept sticking to my knees and feet.

Finally, I had a couple contractions that seemed to move her along at his point without much pain or help from me. Those few felt so wonderful. Then I felt like I had to push during contractions again and I felt an intense burning and bulging and I knew she was right there. They positioned a mirror so I could see her head coming through for the first time. Her scalp and hair was mushed and wrinkled, covered in brown hair! That wasn’t much of a surprise, since I imagined her with dark hair before her birth but it was nice to see. Little did I know but less than 10 minutes from then, I would be holding my daughter in my arms!

After another contraction, I looked down again and could see her head almost out, just waiting, my vagina bulging with her head. My midwife put more olive oil on my perineum. The push to get her head out was me moaning and screaming her out, and I felt myself stretch even more and I felt a sharp pain (from a small tear, I later found out) during crowning and with one more little push at the same time, the rest of her just slipped right out. My midwife caught her and handed her to my husband through my legs. I was almost in shock. I couldn’t believe it was over. I had done it. And she was beautiful. Time of birth was 5:46pm.

I laid down with the help of my midwives and husband and I closed my eyes to rest for a moment and they placed Amelie on my belly. Then I began checking out my baby while they listed to her heartbeat and checked the little things they needed to. She was very wide eyed and alert and starting to pink up. She started rooting and with a little nudge in the right direction from me, began nursing right away. Her latch was perfect and she continued for quite some time. I didn’t have to move to push out the placenta.

My midwife instructed me to give little pushes to help it along and asked that I “cough” and then the birth was complete. I just rested with my new baby on my breast, head propped up on pillows, and my husband sitting right next to me admiring our daughter together. Contractions continued to come even after the placenta was out, and the nursing made them stronger, but the pain was not nearly as intense as before the birth. These lessened over the next few days and seemed to completely disappear by day 4 postpartum.

My husband, shortly after her birth and our initial breastfeeding experience, put her sweet newborn body on his chest for some father-daughter bonding. Here she is all wrapped up and warm, making eye-to-eye contact. She was very alert! 

A couple hours later after the sun had gone down and Amelie was sleeping, my husband brought me dinner in bed. And what a fine meal it was! Chicken, beans, and mashed potatoes with a tall glass of milk. The midwives cleaned my house and washed my sheets. They gently checked me, assessed my small tear and looked me straight in my eyes when talking to me. This meant so much to me. And with regard to how my lovely midwife treated Amelie, I will cherish that memory forever. She held Amelie gently and with the utmost of care, as if she were the most special and precious baby on earth, giving her tiny kisses on her head and speaking softly to her.
Amelie was finally weighed and measured after pooping twice and peeing on my midwife, coming in at 7lbs 3oz and measuring 21 inches. I peed, showered, and returned to bed feeling so much better.What a sweet experience, so radically different that my first time around. Everything turned out just as I wished it would, besides labor being more intense than I imagined. I am now 5 days postpartum and my daughter and I have not had to leave our own front yard. This whole experience was transformative. I feel like an empowered mother, proud of myself, my birth story, and my family.

 

Did you have a home birth? Share your story!

 

Related

Want to subscribe? Click here. Or follow me on my facebook page, Paa.la
Related Posts Plugin for WordPress, Blogger...