< Part 6 (I Think I Can, I Think I Can, I Think I Can) / Part 8 (Epilogue, For Me) >
Recap: It was just before midnight on Friday and I was at the birth center. I’d been having contractions off and on since Wednesday morning, and steadily since Thursday evening. My effacement was finally even and I was dilated to 5 cm. Since Tuesday, I’d slept roughly 10 hours (most of which was regularly interrupted with contractions). I was exhausted, but news of the even effacement had given me new hope and strength.
I sat in the shower spraying my belly, while the nurse filled the hot tub. There was a hum of quiet activity in the room, nurses and Gloria in and out, but I was oblivious. I had struggled with what to pack for wearing in the hot tub, unsure of how modest I would feel. But there was no modesty left at this point, and I heaved my naked body into the tub when it was full. I don’t know how M was positioned or if the nurse checked during the exam, although I can only assume she did. Looking back, it seems curious that my effacement would have evened out if she had remained posterior and acynclitic. Yet Gloria proceeded as if things remained unchanged. I was ordered to lie on my left side in the tub to encourage her to turn.
From this point on, my labor progressed fairly normally. I don’t know the frequency of my contractions – we never really timed them, although perhaps the nurses did. I laid in the tub, R poured water over my belly and talked me through contractions, I lifted myself occasionally so they could check M’s heartbeat, and minutes blurred into hours. The water was cooled several times, as her heart rate was slightly elevated, but other than that, the nurses mostly left me alone. The pain of the contractions was intense and unrelenting, and I dreaded each one, but there was nothing to do but keep going. After a while I got out of the tub and sat on the birth ball. R sat across from me in the recliner, supporting me with his hands, talking me through the contractions. Suddenly I felt nauseous, and managed to yell out, “Feeling pukey! Feeling pukey!” There was a mad scramble in the room as Gloria charged towards us, fumbling the little pan. She got it into R’s hands just in time, and I leaned forward and emptied the contents of my stomach. Several times. After the contraction ended, I joked that I didn’t care if I threw up, as long as it helped me dilate.
At 3:40 AM, the nurse checked me again and pronounced me 8-9 cm and 100% effaced, baby at zero station. I was in the home stretch, and intensely relieved. At 5:15 AM the on-call doctor arrived. Unfortunately it was not my doctor, but according to Gloria, he was the next best doctor in the practice. I found him to be incredibly kind and considerate – his checks were even gentler than the nurses. He informed me that I was still at 8 cm (after an hour and a half), and perhaps I might want to consider having my waters broken to see if that would speed things up. I was adamantly opposed to interventions of any kind, but I also knew I couldn’t take this for much longer. I looked from R to Gloria, indecision in my eyes, the haze of pain and fatigue hindering my ability to think. I asked for Gloria’s opinion, and she said she didn’t think it was a bad idea. She told me days later that they lied to me. The doctor’s check showed I was at seven cm, not eight. I know determining dilation is not an exact science, as everyone has different sized fingers. Also, dilation can increase (or decrease) during a contraction, so the timing of the check can change things. And feeling stressed, anxious or unsafe can cause the cervix to close down, only to open up again once those feelings pass. However, in the heat of the moment, Gloria was afraid that hearing I had regressed would devastate me. She huddled with the nurses and doctor, and they decided to tell me I was still at 8 cm, in the hopes I wouldn’t be too discouraged. I think they made the right decision.
With the green light from Gloria, I consented to the membrane rupture. The doctor was so gentle, that despite the enormity of the hook he inserted into me, I didn’t feel a thing. A small amount of amniotic fluid came out and the doctor told me it was stained with meconium (typically a sign of fetal distress), but lightly, so he wasn’t worried. I climbed back into the tub. There was one bit of really good news from the check – M was no longer posterior and had rotated into the ideal position for birth. After so many days of struggling, it had finally happened (and I have no idea when or how). I told Gloria I was going to lie however I damn well pleased, and flopped onto my right side. She sighed and looked worried, but didn’t say anything.
Shortly after 6 AM, I started making “uh-uh-uh” noises involuntarily during my contractions and I elatedly announced that I was feeling “pushy”. Gloria made me stay in the tub a bit longer until the grunts became stronger and more consistent. I was ecstatic to know that things were almost over, but also terrified about the next stage. They helped me out of the tub and toweled me off as I shivered uncontrollably. Gloria tried to get me to direct my energy into the contractions instead of shivering, but I wasn’t able to maintain my focus. I leaned on her and told her I was afraid. She asked why, and I said I didn’t know how to push. It seems silly, but it was the truth. I had no idea what to expect and I was suddenly gripped with fear.
At 6:15 AM I climbed shivering onto the bed, only to be told a lip of cervix remained (I had zoomed from 7 cm to almost complete in an hour). Despite my fear, I was crestfallen. I wanted the contractions to END. After a brief discussion, the nurse told me she would try to hold the lip aside while I pushed gently, hoping to move M’s head past the lip. I’ve read stories of women screaming in pain during this type of procedure, but I honestly don’t remember it hurting any more than a contraction (which was plenty bad enough). Perhaps I’ve blocked out the memory. We tried several times, but were unsuccessful. Also, now that I was out of the tub, the grunts and pushiness were gone. It wasn’t time yet.
I struggled through the next hour, trying to visualize the lip melting away. It was hard. To know I was so close, and once again hitting a brick wall. I was so overwhelmed with exhaustion, that I actually started to not care as much about the contractions. That realization made me laugh. A little.
Shortly after 7 AM, the grunting returned. At 7:07 AM, the nurse checked me again. I was complete. No, wait, there was still a lip. Oh, the horror. She said she would check me again in 20 minutes.
I gritted my teeth and cursed as wave after wave of contractions hit me. Unbelievably, the pain had reached a new level, and was radiating around my sides and into my back. I don’t know why I started having back pain after all this time, although I’m guessing it’s somehow related to my surgery. I voiced the new pain, but no one offered to apply counterpressure, and I was too dazed to request it. I started to panic, my pitch moving higher and higher, and I needed constant reminders to keep it low. Twenty minutes hadn’t seemed that long, but as new contractions started before the previous one had faded away, and my back felt like it was being rent at the seams, it became an eternity. I whined and moaned and breathed. But with constant reminders and support from R and Gloria, I managed to hold myself together.
At 7:30 AM I was complete. It was time to push. My fear returned, but the pushiness did not. I had read about pushing – how the body is seized by the desire, the will, the force. It sweeps through you, consumes you, takes you over and carries you along. The pain of dilating contractions is replaced by the relief of pushing. None of that happened. The contractions continued to pound my body, but there was no relief, no overwhelming urge. I didn’t know what to do.
I looked pleadingly at Gloria, trying to find the words to ask her how to proceed. I couldn’t take the pain of the contractions. I wanted them to end. But I didn’t feel the urge to push. Did I wait for it to come? Or not? I couldn’t bear the thought of waiting, but I was terrified pushing would make the contractions hurt even more. Gloria said to try pushing. I was still lying on the bed from the final check, and although I was opposed to giving birth on my back, Gloria assured me there was plenty of room in my pelvis (I believe the exact words were “Your pelvis is HUGE!!”), and I could try it if I wanted. I gave a few pushes, but Gloria told me I was putting more energy into pulling on her and R than pushing. I sat up on the side of the bed, and Gloria said we could feel M’s head if we wanted to. I put my hand down, and it was right there, so close to the opening. It was wrinkly and soft. After some encouragement, R felt too.
Gloria sat me on the birth stool, but I was intensely uncomfortable there. Despite the opening that made room for the baby, it still felt like sitting in a chair and trying to poop. I refused to push there.
Not having the urge to push really complicated things, and there was an air of uncertainty in the room. Gloria suggested that R should stimulate my nipples (a technique we’d used earlier to strengthen contractions), hoping it would bring on the urge to push. I couldn’t bear the thought of making the contractions even stronger and more painful, and I refused. She asked me if I wanted to get this baby out. I still refused. I had followed her lead, listened to her suggestions and taken her advice and she had served me well. But I could not do this. She sighed and shook her head. I didn’t care.
It was now 8 AM. Gloria helped me onto the bed, and I leaned forward on the birth ball, gripping R’s hands for balance. I had known from the beginning that I would birth on hands and knees (and had told Gloria so during a pre-natal visit), so I don’t know why we bothered with the other positions. Although I made the “uh-uh-uh” sound occasionally during my contractions, it was sporadic, and there was still no real urge to push. Nonetheless, I soldiered on, and it was clear I had finally found the right position.
Gloria instructed me to roll back on my haunches while pushing, as if I were squatting (except on my knees). And she used her hands and said push here. I arched my back slightly, like a stretching cat, squeezed R’s hands with a strength I didn’t know I possessed, grunted mightily, and bore down. “YES! That’s it! You’re doing great!” But I was still uncertain as to when to push. The contractions continued to grind through my body and they hurt like hell, but they didn’t tell me to push. Gloria said to try to get three pushes in per contraction, but I didn’t know when to start. Sometimes I’d push as soon as the contraction started, other times I’d wait to see if it would guide me. But as the minutes ticked by, I started pushing 2-3 times with almost every contraction. It was clear I wasn’t going to get the pushing sensation, and I wanted the pain to end.
Gloria and the nurse were cheering me on, telling me I was a great pusher. The doctor was summoned, and he came around to my head to talk. He knew we didn’t want to cut the cord until it stopped pulsing, but there was a lot more meconium than he originally thought, and they were going to have to cut the cord immediately and take M to suction the fluid out. I nodded my head numbly. He apologized, and said she would never leave our room, and after everything we’d been through, cutting the cord immediately seemed like such a minor thing. Once again I was amazed by his respect and consideration, and so thankful he was the doctor attending my birth.
I grunted furiously while I pushed, and the noise drowned out everything around me. The doctor was soft-spoken, and I had my back (okay, my butt) to him. I couldn’t hear a thing he was saying, didn’t even know he was talking to me, to this day still have no idea what I missed. Suddenly Gloria realized I couldn’t hear him, and yelled for me to stop pushing. I had moved M down without feeling a thing (thanks again to that HUGE pelvis), but now her head was crowning, and the ring of fire was raging. Her nose was out, and the doctor wanted me to stop pushing so he could suction her before she started breathing. Stop pushing. While her head was halfway out of me. I automatically obeyed Gloria, and whimpered in pain while they tended to M. I got the okay to push again, and gave a mighty shove, feeling the relief of her head coming free. Gloria ran to my head and announced, “Her head is out!” “I KNOW!” I growled. I was tired, but not that tired. The cord was around her neck, but they looped it off. I started to ask if I should wait for another contraction before pushing again, and then thought why the fuck would I willingly subject myself to another contraction when I didn’t have to. I gave a push, and the rest of her body slithered out, her arms and legs leaving a faint impression on my memory as they departed my body forever. It was 8:21 AM, and my daughter was finally born.
I twisted to the left and saw M lying on the bed behind me, but she wasn’t crying. I was seized with terror, and frantically asked if she was okay. Gloria assured me she was fine, and she started crying shortly thereafter (I realized later they didn’t want her to cry, in the hopes she wouldn’t aspirate the meconium). They cut the cord and moved her to a table on the other side of the room. The nurse helped me turn over so I could sit down, and I was giddy with relief. No more contractions. No more pain.
The doctor worked on M until the neo-natal doc arrived and took over, and then he came to tend to me. He started to inform me that it was time to birth the placenta, then said, “Oh, it’s right here”. Unbeknownst to me, it was already almost all the way out. He gave a gentle pull and it was out. He looked it over, and I was shocked at how large it was. He said everything looked okay. The nurses started cleaning me up, and the doctor said I had two tears – one was minor and needed no attention, the other was 2nd degree and would require stitches.
It was at this point that the lack of sleep (about 10 hours over the previous 4 days) really hit me. I felt like I was underwater. Everything was surreal and in slow motion. I would say something, then desperately try to remember what I’d just said because I wasn’t sure the words were in the right order or made any sense. I was confused and foggy, and felt my grip on reality sliding away. At the same time I was excited to meet my daughter, thrilled the birth was over, and amazed that I had DONE IT. I was also curious as to why my throat felt so sore, and it took a while before I realized it was from all the grunting while I pushed. This made me laugh.
R was moving between me and M, taking pictures with our digital camera so I could see her. She was so beautiful. When they finished with the suctioning, the nurse went about cleaning her up, weighing and measuring her (7 lb 10 oz, 20.5” long), etc. We had declined the Hep B shot, and requested that the eye drops and vitamin K be delayed. It had been an hour since her birth, and I was growing increasingly anxious to have her in my arms. Gloria informed the nurse that I hadn’t held my daughter yet, and she apologized and brought her to me immediately.
My first thought was to get her to my breast. We had already lost an hour, and I didn’t want to waste anymore time. I unwrapped her so her skin was against mine, and set her on my chest. She nuzzled me gently, and after a while she latched on and sucked once or twice, then pulled away. Gloria said that was actually very good, considering what she had just been through. And for the first time, it hit me that the deep suctioning (tubes shoved repeatedly down her nose and throat) may have been a difficult thing for her. But she had latched on, however brief, and that seemed like a good sign.
The next hours were a blur of sleeping, holding my beautiful girl, and visitors. M continued to show little interest in nursing, so that afternoon I pumped some colostrum, and we fed it to her in a little cup. By evening I was able to get her latched on and she started nursing. I was a little tentative, and we had a few kinks to work out, but things seemed to be going pretty well.
Two had become three, and we headed home the next morning to begin our new life together.
Part 1 (Preparation)
Part 2 (Warming Up)
Part 3 (Ready! Set! Wait!)
Part 4 (Ready! Set! Wait Some More!)
Part 5 (Are We There Yet?)
Part 6 (I Think I Can, I Think I Can, I Think I can)
Part 7 (A New Life Begins)
Part 8 (Epilogue, For Me)
Part 9 (Epilogue, for my daughter)