Monday, December 27, 2010

Ch-ch-ch-ch-changes Part II: Max's Birth



Getting to this post has been difficult. I imagine it has a lot to do with having a newborn baby. Every time he sleeps during the day I go to a list in my head of at least 5 things I want to get done and somehow "writing Max's birth story" never makes it to number one. I also recognize my need for distance from the experience and the perspective it brings.

More than anything though, I realized I have been approaching it the wrong way. Every time I've started to write it just sounds and feels wrong. I was trying to tell the story with a sense of humor, in an entertaining way. Unlike a lot of things in my life however, this experience doesn't fit into a neat, funny little anecdotal box. It was too intense, and at risk of sounding trite, too important. I have thought this since I found out I was pregnant and started researching birth-birth experiences and stories are not to be dismissed or trivialized. They are intrinsically important to mother and child. To the mother because I believe it radically alters her perception of herself and her strength. To the child because it is his very first experience of the world. It is important also to tell these stories, to share them with other people, to record them for the child to learn. Here's our story, told as simply as I can...

Its true what people say about labor. It does kind of all blur together. By no means however will I ever forget it. I realize this is from someone only 5 weeks out, but I am certain I will always remember.

Despite the blurred edges, there are things that stand out: my sense of calm after my water broke (despite having to go to a hospital instead of the birth center we'd planned on); my relief at seeing Doc at check-in as it was her normal day off (she came in because another high-risk delivery patient of hers and I were both in labor-told you she's wonderful); a few very long sessions in the hot shower; a nurse's cool hands stroking my back; my midwife's voice; Dave and my mom's fists pressing into the small of my back; meditative music playing on loop; dim lights; my TOTAL LACK OF SELF-CONSCIOUSNESS (I was basically half-naked and making inhuman noises the whole time).

Labor went on for 24 hours. Drug-free and I'll be honest, horrible, intense labor where I spent some time mentally cursing Hypnobirthing and the expectations it created. (Here's where some people may smile smugly and think to themselves "I told you so". And I will let them. Just for a second.) I never bought into the whole "childbirth can be painless" Hypnobirthing party line. But I DID think the breathing and meditation and positive visualization would help a lot more. And who knows, maybe it did. Maybe it would have been WORSE without those techniques.



I don't think I would've made it as long as I did if it weren't for my midwife. She talked me through contraction after contraction, made me get into positions that helped so much when all I wanted to do was curl into (ironically) the fetal position and cry. But a girl can only take so much. And 24 hours of back labor, 6 of those hours being stalled at 8 cm, was my limit. I was not trying to be a hero by not getting drugs that long. I honestly just kept going because I thought I could. It was that simple. When I no longer thought I could I asked for help.

I knew I couldn't keep going on my own and then have the strength to push my baby out in what might be a stressful delivery where I'd need all my reserves of energy. I also knew with how exhausted I was I couldn't weather the more intense contractions Pitocin would bring along with a speedier transition. And finally, I was not ready to "throw in the towel" as Doc put it, and get a C-section. I decided to get the Pitocin but with an epidural and the rest it would afford me. I felt it was the best use of interventions and the best chance I'd have at still delivering vaginally.

2 hours later I was fully dilated and being wheeled into the operating room (because I was considered a high-risk delivery). I was glad I'd had that couple hours of painless rest but I was also scared. It was actually happening. I was going to deliver a baby and attempt to do it butt-first. I have to say though, the atmosphere in the OR was...festive? There were 15+ people in the room...an anesthesiologist and neonatologist (the high risk thing again) as well as assorted nurses and operation techs. Apparently a vaginal breech delivery is rare enough to garner an audience. Everyone was really positive and encouraging. For someone who wanted a private, quiet, dim birth environment this brightly lit and crowded room was suprisingly welcome. I needed the good vibes at this point. (In fact, I even made a joke. Doc asked how I was feeling and I said, "Scared." She responded, "It'll be okay, there's an end in sight" to which I replied, "Literally." Brought down the house.)

An hour of pushing and my son was born. He came out bent in half and his head was stuck for a scary 15 seconds where Doc had to use forceps. Then there was the even scarier seconds where they whisked him over to the neonatologist and he was silent. I kept asking if he was okay until I heard him cry. Boy, did he cry. He sounded about as happy as my lady parts were (the epidural was pretty much worn off at this point).



Dave was over by the table with him and he came back to me to tell me (with tears in his eyes) that he was beautiful. I got to hold him for a few seconds. He was red and wrinkly and screaming. I said hi to him and he stopped screaming and looked right into my eyes. Its a moment, more than any other, I will never forget as long as I live.

Minutes later he was being whisked away to the NICU. What followed were 4 very long, very scary days...

Monday, December 13, 2010

Stump Trouble

Infant's umbilical cord stumps are the grossest things in the world.

Max's started oozing and getting gooey three days ago. As if a crusty brown raisin-y thingie that's going to FALL OFF isn't bad enough, now it has to OOZE and stain all his adorable onesies??!! Also it smells like pierced ear holes (you know the smell I'm talking about). I want to vomit/faint every time I see it.

Then today it decided to just hang there. By a thread. Of SKIN.

I stared at it for his entire afternoon feeding today, willing it to fall off by the force of my gaze. Stumpwatch 2010.

I'll take rectal temperatures any day over this.

Ch-ch-ch-ch-changes Part I: No, We Didn't Do It For Insurance Reasons




Whew. The last few weeks were easily the most intense days of my life so far. So eventful that I'm going to need to blog about them in installments. It'll be fun! I'll even put in cliffhangers to make you come back for more.

We left the island the day before Thanksgiving to go to my weekly midwife appointment, spend the holiday with Dave's brother and family, and then settle into our temporary baby-awaiting camp in Sturgeon Bay. At what was anticipated to be a normal, "everything's good to go", lets talk about what labor feels like for the millionth time weekly baby check we heard these plan-altering words from Marijke, "I hate to say it, but I think this is a head". While feeling the TOP of my belly. Breech again. Or still. Regardless, we were four days out from my due date. Not a promising amount of time to turn the kid. We went for an ultrasound the same day to confirm the position. Breech indeed. Folded right in half with his feet by his head...frank breech to get technical.

Suddenly we are facing a hospital birth with an OB. Luckily the referring OB for the birth center is easily the most wonderful woman in the world. She'd performed our 20 week ultrasound and we'd loved her then. After confirming the breech, Doc informed us of our options: try an external version to turn him and if that didn't work, schedule a C-section or attempt a vaginal delivery. Doc is a maternal fetal medicine specialist and has performed many breech deliveries successfully. She said the kid and I were good candidates based on his presentation, head proportion, my health etc. We decided to try the version (the next day-Thanksgiving!!-per Doc's wishes. What OB have you ever heard of coming in on a holiday for an elective procedure? The most wonderful one in the world, that's who.)

Let me tell you something...an external cephalic version (ECV for you medical acronym fans) isn't that fun. I'd rather have been eating stuffing thank you. You go to Labor and Delivery (L&D...there's another one for you) in the hospital, they hook you up to a couple monitors (one for you, one for baby) and then Doc cranks on the outside of your stomach trying to manually push the kid into a forward roll. I'm not gonna lie-it hurts. You spend nine months trying to protect your belly and then suddenly someone's fingers are three inches deep, manhandling the womb. Ouch. And unfortunately, it was unsuccessful. She didn't try for very long as it has the potential of being distressing for the kid.

We left disappointed, freaked out and with a very big decision weighing heavily on our shoulders. Also hungry. Where do you go at 7'o'clock on Thanksgiving in Green Bay? The Golden Basket! A family diner with a $7.99 Thanksgiving dinner special. Dubious neon yellow gravy smothering the whole plate aside, it was a welcome feast at that point. It was across that cheap Formica tabletop that Dave popped the question. Or popped the statement as it were: "We should get married tomorrow." I didn't think he was serious until I saw his face. I'll leave the sappiness out, but I will say it was genuine and unexpected romance and I will remember how it felt forever (okay, a little sappiness). I wouldn't have wanted to be proposed to any other way. It was perfect.

Suddenly faced with a high-risk birth and a difficult decision to make, the scariness looming could easily have pitched us into negativity and tremendous fear. I was already skidding down that slope. Dave felt the positive energy of that commitment between us would really help get us through our first big hurdle of parenthood. He was absolutely right, and I've never been so sure about anything.

Unfortunately government offices didn't cooperate with our "lets get married tomorrow" plans, as being the day after Thanksgiving they were all closed. An agonizing, but exciting, weekend followed. We orchestrated an elaborate plan to get our birth certificates from the island (aided and abetted by some sworn-to-secrecy friends), all the while researching breech deliveries, C-sections and tightly crossing fingers and toes that baby wouldn't come on my due date (probably the only pregnant woman in history who hoped for that) so we could make it official first.

Monday morning dawned. No baby yet. We had decided not to schedule a C-section but let the little guy come on his own schedule and go into labor naturally. We would get to the hospital and take it from there. Both of us leaned heavily toward a trial by labor as long as things remained favorable and Doc was on call when it all happened. One phone call to the Clerk of Courts later and we had an appointment with a judge at 4:15. Just enough time to get our marriage license ($25 bucks extra for same day expedition), get my hair blown out, buy a new pair of shoes (I might get married in jeans but I was NOT getting married in UGGS), pick out wedding bands, and get our witnesses called in. Everything just fell into place. It was so Celestine Prophecy it almost made me want to reread the book (almost).

The ceremony was perfect. The judge read a beautiful statement and vows...I thought it'd be all "wham bam by the power vested in me", but if I could've picked out a wedding script, I couldn't have done better than this.
A sampling:
"The intimacy of love is one of life's greatest joys, and when this is combined with real friendship, both are infinitely enhanced...Marriage symbolizes the intimate sharing of two lives, yet this sharing must not diminish, but rather enhance, the individuality of each partner...We must give ourselves in love, but we must not give ourselves away. A good and balanced relationship is one in which neither person is overpowered or absorbed by the other."

Really? How great is that?

We had a delicious Italian dinner afterward with our good friends and witnesses and I went to sleep that night feeling the most secure and peaceful I'd felt in a long time.

Then I woke up at 6'o'clock to my water breaking.