
It took over three years to write this story because while meeting my daughter was the most amazing moment of my life, the birth process was quite difficult for me, emotionally and physically. I don't think I'd be able to write it now, if I hadn't had a much better birth experience two years later (sorry for the spoiler!). I finally wrote it because I don't want to forget more than I already have, and because I love reading other moms' birth stories and know that someone out there might be looking for a first-hand experience of an induction, cesearean, or vbac.
Fair warning: if you are sensitive to reading about medical situations, or are looking for 100% positive birth stories, skip this one. Yes, there's a happy ending in the form of a beautiful baby girl, but there's quite a bit of pain first.
Also, it is VERY long, just like the labor.
Marisol: My First Birth Story
Pregnancy
I love being pregnant. I am one of those women, like my mother, who just feels better pregnant. My hair gets thicker, my nails are shiny, my skin finally clears up (and then stays acne free until at least three months post-partum, at which point...the acne returns, sadly), and I just feel more beautiful in my skin than ever. Sure, there's some nausuea and other normal pregnancy symptoms, but overall, I'd be happy to be continually pregnant!
In my job, I tend to take on a lot of projects, and pregnancy makes me slow down and focus on myself. I did yoga, acupuncture, and chiropracty with each pregnancy and took care of myself because it was the first way I could take care of my babies. I also learned all I could about pregnancy, birth, and lactation (irony alert).
We took a wonderful Bradley class and I learned so much about the whole process that it felt like a college course. By the time my due date neared we had a natural birth plan, a doula, and a wealth of information. I thought I was empowered to make all the best choices during my birth.
[Now, I have to get this out because it colors the way I feel about what happened during Marisol's birth, whether that's fair or not: Marisol has Cerebral Palsy. It is usually caused during, right before, or right after birth. We do not know what caused it, and never will, because no one ever witnessed her having the stroke that caused her brain injury. We can only assume that it happened before birth, but there is no proof of exactly when it happened. My strong feeling is that it happened during the one moment that everyone freaked out about her heart rate. It was one scary moment, and the only moment that makes sense to me.]
Nearing My Due Date
I worked up until five days before my due date. My mom had come to stay with us until after the baby was born. Unluckily, the day before my due date, as we walked out of a restaurant, on the way to an appointment with my midwives, my mom fell and broke her shoulder. This was a huge deal because she is in her 70's and my mother!
I stayed calm and got her to the ER. At first, the doctors thought she would be okay--they didn't think it was broken. The ortho we went to the next morning agreed that it was not broken and asked us to come back a few days later. When we did, it was clear that she had broken it and would require surgery. So we put her on a plane and sent her home to my siblings who could better care for her in her own home.
To say that the four or five days between her fall and the day we sent her home was stressful is a tremendous understatement. I was terrified of going into labor and not being able to care for her. She couldn't use her arm at all. At least, when we sent her home, I knew she would be cared for and that it would be okay for me to labor. If you know anything about birth, it should be pretty clear to you that this amount of stress would be enough to delay labor in any creature, human or otherwise!
Early Labor a.k.a. Prodomal Labor (annoyingly a.k.a "false labor")
A day or so after we got my mother settled back home, my contractions started. This was five days past my due date, but 8 days BEFORE I would actually give birth. It was a Monday and later that week, on Thursday night, I began having more serious contractions. However, they were erratic and under a minute long. It was difficult to sleep, but not impossible. The next morning, on Friday, we woke up sure that would be the day as my contractions were fairly strong and about 6 minutes apart. Gabe took the day off work and we drove together to my scheduled check-up with the certified nurse midwives.
It was not the day. By the time we arrived for the appointment the contractions were all but gone. That morning, a midwife I would came to detest tried real hard to scare us into inducing. She checked my fluids and said they were too low, even though I would later find out that her idea of "too low" was very subjective. I asked her if I could try and increase my fluids. She asked me, "Why don't you want to just have her now? We can induce." (This is why this midwife is called a 'medwife' by many in the birthing community here.) I thought, but did not say, "Because inductions are risky, and she is doing fine according to your monitors, and she isn't actually 'late' until after 42 weeks..." She finally relented and gave me two more days-until Sunday.
I spent the next 48 hours doing everything I could to increase my fluids and get labor going. I kept getting contractions at night, which was exhausting. I climbed stairs for hours at our local outdoor mall. I walked many miles. I napped. My acupuncturist even came to do a housecall to induce labor. etcetera...
Sunday, an OB resident saw me and said my fluids had improved, but not enough. The only remedy, she said, was birth. It wasn't urgent, though, so I could come in the next morning, Monday, a full week after my "false labor" or prodomal labor had begun. Even though I had read that this was very normal, I hadn't expected it and was starting to get frustrated with how long the process was taking. I had hoped the whole labor process would last less than a day, not more than a week!
Induction
At this point, we had another challenge-- the standard at the hospital where I delivered was to begin inductions with Cytotec, which poses many risks, such as uterine rupture. I called my birth educator, and my doula, and we did more research. We had a few long talks and neither Gabe nor I were comfortable with the use of Cytotec for induction. My "medwife" was very annoyed by this, but relented, because honestly, she had no choice without my consent.
We drove in that Monday morning ready for the induction, which I did not want, but felt pressured by my care provider to have, and was beginning to fear was inevitable. It didn't help that family were getting worried about my having gone "overdue" even though I knew that the average gestation for a first pregnancy is 41 weeks and 3 days.
When we arrived at 8 am they were full and told to us to come back in twelve hours. We went home and I tried to use my breast pump to get labor going. I also tried to nap, and went out for our last pre-baby meal at Bucca di Beppo. I was still having contractions, but aside from some shifting at the table, was able to make it through the meal. We went home one last time, packed up a few last things, checked in with our doula and went back to the hospital.
I felt sad on the way. I felt like an animal going to slaughter. I knew that induction made the need for an epidural much more likely, which made the need for a cesearean much more likely, not to mention a host of other interventions we didn't want. I was terrified of this "cascade of interventions." I was committed to laboring with pitocin without pain medication. I wanted to participate fully in the birth. I wanted to feel my body pushing her into the world. I wanted to be able to walk around, and not expose her to drugs. I had high hopes, but a heavy heart. I remember thinking, as long as this ends in a vaginal birth, I'll be happy with the birth experience. Of course, my top priority was a healthy baby, but I also was concerned about the birth process, which would affect both our health and well-being.
They hooked me up. The "medwife" chided me once more about the Cytotec, and I tried to sleep. Gabe napped and checked on me, but the night was uneventful. It was pretty much the same as the last few nights.
In the morning, the "medwife" came in only to check my dilation and tell me that nothing had happened since I wouldn't do the Cytotec. She was rude and luckily, going off duty to be replaced by a nicer, warmer, and much more experienced midwife. This midwife came in with kind words, and unhooked me to let me take a "pit break." They stopped the pitocin and allowed me to shower and eat breakfast--thank goodness for small miracles.
Active Labor
Then, I got back on the Pit and they began incrementally increasing the dosage. It was probably 9 am. By 4 pm, I was at 5 centimeters and in active labor. The pain was intense, especially since I was experiencing back labor which made the contractions radiate from my back around to my entire uterus right up to my chest. Gabe was fantastic--helping me to walk around, get to the bathroom, reminding me to drink fluids, change positions, etc. We called the doula, hopeful that the show was really going to go on! I spent almost no time in bed. I was walking, boucing on the birth ball, stretching. I was doing everything I knew how to manage the pain and help labor progress.
Meanwhile... my mother was getting a should replacement surgery. Four of my siblings were there, at least one of whom was terrified that my mother would not make it out of anesthesia. Honestly, we were all a little terrified. I tried to focus on my daughter and getting her into the world, but I kept thinking of my mom, being cut open, and I was scared for her too.
My lovely doula arrived and helped me and Gabe. He got to go take a shower and grab a bite to eat. He made some phone calls to his family and mine. He got updates on my mom, who did fine. He was working hard with me, to help me, and having a break for him was important. Our doula helped me deal with the increasing intensity of the contractions by massaging my feet and legs, rubbing my back, and many other calming and soothing things I can't even fully remember. Most importantly, she was supportive and encouraging.
By 10 pm that night, the contractions were very intense and getting closer together. I was at a 6, which was pretty good, but I was getting really tired. I hadn't eaten for 14 hours and had been pretty active all day. My midwife suggested rupturing my membranes to see if that wouldn't speed things up a bit. I agreed, knowing this would be another intervention. It was only a little painful, and there was little fluid, although it was clear. It did further intensify the contractions, making them feel sharper.
I continued to labor for another five hours. They kept increasing the dosage of pitocin. I was transitioning and they moved me into the delivery room. It was 2 or 3 am. I was exhausted but still hopeful as I walked down the hallway with my crew. I wanted to get this baby out!
Another hour or so passed and nothing changed. I was, seemingly, stuck. I was also at my limit emotionally. I was so fatigued from the lack of food, level of stress and endurance, and the intensity of the pain. The contractions were so profound that I needed Gabe to use his full strentgh to bear down on my lower back for counterpressure, while my doula rubbed my arms through every contractions. I was on the birth ball and sounding it out, but I was done.
The midwife explained that they would have to increase the Pit significantly to try and get things going more rapidly. I asked her, plaintively, "but how am I going to do it? I don't know how to do it." I couldn't go on. I had been induced over 30 hours earlier, and hadn't eaten in close to a full day. I was spent. I felt completely depleted.
She suggested the epidural and I accepted. We all hoped I could sleep for a few hours and then push my girl out. It sounded like a reasonable plan. The epidural was quick and effective in that it numbed my lower half. But I felt totally disconnected from my belly button on down. It was strange. I slept a little.
My mother in law was invited into the room. She had been waiting in the lobby, but now that I wasn't laboring naturally, I didn't feel like I needed as much privacy.
The Caesarean Section
Soon after the epidural, everyone freaked out. My blood pressure and the baby's heartrate were dangerously low. A bunch of doctors and nurses raced into the room. They flipped me in a few directions. They gave me a shot of epinephrene which made my heart race and they stopped the pit. I have always had low blood pressure, even when pregnant, and my suspicion is that that makes me a poor candidate for epidural medication, since one side effect is lowered blood pressure.
They stablized the baby's heartrate and inserted an internal fetal monitor which screwed into her scalp. Another intervention I hadn't wanted. Honestly, we hit every step on the "cascade of interventions."
Gabe was terrified. I felt defeated. This was turning into a nightmare and I was scared for my baby and for myself.
To the credit of the staff, my midwife came in with an OB at that point and said, "You and the baby are safe and doing well now. But something was causing her problems. It could be a fluke and she might tolerate more labor. We can start labor up again and monitor her closely, or we can do a c-section. Either way, we are going to make sure you are both safe. It is up to you."
I didn't have to think long. One look at Gabe and a short conversation later, we decided that Mari would be born by cesearean. It seemed the least risky option at this point. My mother-in-law kindly pointed out that I was born by C-section and my baby would be too. I comforted myself with the image of nursing her, an image I had had with me all through the labor as a way to keep myself motivated. I so wanted to hold her to me and begin our breastfeeding relationship.
Things finally moved quickly. Less than twenty minutes after we said yes to the surgery, she was pulled out of me and into the world. She was born before 8 am.
The surgery was surgery. I felt numb and a lot of pulling. I felt nauseous. I shivered uncontrollably because of the drugs, or the cold of the OR, or nerves, or all of those things.
I cried when I heard her cry. I cried when I saw her. She was beautiful. I was relieved.
Post-Op/The First Day
It's a blur the bit of time between seeing her in the OR and in recovery. A bunch of people got to hold her before I got to hold her. My arms were too numb to hold her and I remember that everyone got distracted for a moment and I had her next to me in her bassinet, but I couldn't reach over and grab her. It was painful, that moment. My mother-in-law noticed and held the baby while I touched Marisol's face for the first time.
This strange inability to hold her is probably why a lot of C-section moms feel a little distant. I did, but I also wanted desperately to be close to her and bridge that distance. Thankfully, the drugs wore off and I was soon able to hold her. The midwife came in, even though she was technically, "off duty", just because she was sweet and wanted to see us through. She helped me get Marisol latched and checked for colostrum. The baby had a lovely latch and I had plenty of colostrum. She was not worried and neither was I.
The next few hours were sweet--getting to know her, smell her, touch her, kiss her. Seeing Gabe care for her, since I couldn't stand up at all yet from the surgery. We were exhausted but elated with our girl.
Sometime that afternoon, the pediatrician noticed that Marisol had a cleft palate. I instantly thought of my nephew. I had grown up knowing he was born "with a hole in the roof of his mouth," but I had never thought of him having a "cleft palate" until that moment. In my mind, knowing he had this too was a tremendous comfort because honestly, he is one of my favorite people on the planet. But it meant she would not be able to nurse. The picture I had of nursing her was a mirage. Although I would try to nurse her many many times, it wouldn't work out. In the end, I pumped for her for a year, but that's another story...
We stayed in the hospital a couple more days and then went home with our prize--the most amazing little girl we had ever met.
Reflections
The labor. It was awful. Having my daughter--that was awesome in the true sense of the word. I wish that I had had the strentgh to refuse the induction until 42 weeks. She was born at 41 weeks and 6 days any how, since it was not until the third day of induction that she was born. It might not have gone better, but I doubt it could have gone worse. She was little, just 6 lbs 15 oz, not a huge post-date baby and she was healthy. Looking back, I fear that the only damage done to her was not from staying too long in my body, but from the many interventions we used to try and get her out before she was ready. That is something I don't think I'll ever get over. The only good thing that came from that labor, other than her birth, is that I learned what both Gabe and I are capable of.
Once it was over, I kept telling him that. We were a good team. He was strong and he was there for me and he was just amazing. I was pretty tough myself. I wasn't scared of pain. I knew that if we did this again, that it could go better. I knew that I could handle it and so could he.
Luckily for us, the second time around was drastically better, and in many ways, my second labor was a salve for the emotional wounds of the first. After my first birth, I felt let down by my body, as if "it didn't work." When I pushed my next baby out, I knew my body did work! But that's Part Two...