Friday, July 6, 2012

My Birth Story


This is the story of the birth of my son, Noah Dacres, on April 4th 2012.

I had a blessing ceremony where my closest friends brought beads for me to string together and stories to share about the strength of women in their lives. The necklace and the stories it represented were going to be one of my cornerstones of strength during my labor. But at 37 weeks I hadn’t yet strung the beads together. I also hadn’t yet created my playlist that I was planning to play during labor while my husband and I used the labor positions we learned in our home birthing class. I was going to light candles, burn incense. I was thinking I might even Om my way to the last moment.

But, alas, things rarely go as planned...

Let me begin on Sunday, April 1st. It was the first day of my 37th week. I woke up that morning feeling extremely "ripe". It was the day of our baby shower and I was drained before the day had even begun. It was that morning that I knew for sure there was no way I was making it to 40 weeks.

On Monday I went to my prenatal class and finally took up my teacher’s offer to stay and help out with the Mom and Baby class. So I stayed and held some babies as their moms got their yoga on. Holding the babies got me excited that I’d be holding my own little munchkin too very soon. Being around those babies probably got my oxytocin levels up.

On Tuesday I had lunch with a friend despite feeling extremely sluggish. It was a beautiful day in San Francisco, and after our lunch I walked up Market Street, got a soft serve ice cream from Super Duper and popped into Walgreens to get the baby thermometer - the last remaining item on our list of things to get for the delivery.

Morning of the birth.
I happen to take a picture of my ripe belly.
Wednesday. My friend D was flying in to visit from Hong Kong. I had just gotten my driver’s license 5 days prior and was not ready to drive all the way to the airport on my own. So we agreed that she'd take the BART to the Oakland downtown station where I'd pick her up. I used the morning to prep her room and “nest” a bit more. I emailed Tenaya, the midwife with whom I was renting my birthing tub from to arrange delivery that coming weekend. I wrote on my blog and had some lunch.

At 1pm D texted to tell me she had landed. I told her to text again when she was on the BART. I decided that I probably had a good hour before I had to go pick her up, so I went to lie down. It was about 130pm when I heard a pop. It took me by complete surprise. Oh no oh no oh no... Was my immediate reaction. I sat up and looked between my legs... wasn’t there supposed to be gushing liquid? Couldn’t be my water breaking... Just then I felt an immense amount of pressure around my cervix. The pain subsided rather quickly and I got up and went to the bathroom. It was still hurting as I tried to pee, I wanted to pee, but couldn't. Eventually I peed a bit. When I looked in the toilet there was some pinkish color amid some substance I assumed to be my mucus plug. I knew for sure that this was it.

I paged the emergency number for my midwives, called my husband and texted my girlfriend. Our midwife Nancy called me back and I told her what had happened and she told me to put on a pad and lie down again for 20 minutes, after which I should get up, dance around, and see how much liquid the pad soaked up. I did as told. A friend in New York happened to call and I excitedly told her that my water just broke. I was laughing and telling her that I couldn’t believe this was all happening already. I checked my email on my phone and got an email from Tenaya saying she could deliver the tub that evening if I wanted, I replied and told her that was probably a good idea as I thought my water had broke!

When I got up and pulled my pants down to check my pad a steady flow of liquid streamed out of me. I ran to the bathroom in attempt to stop the amniotic fluid from getting everywhere. I called Nancy back and told her what had happened. She asked me if I was having contractions yet, and I told her I thought I was but that they weren't intense, and there was no noticeable pattern yet. She told me to call her back when they got more regular or when they were following the 411 pattern (4 minutes in between, lasting 1 minute for 1 hour). I had been so curious to feel an actual contraction. The first real noticeable one felt like–well like my uterus contracting. I even said out loud to my dog, “So this is what it feels like!”

My contractions quickly started getting more intense. I was on my hands and knees on the floor and then had to lean on the bed and breathe through them. I noticed that they were getting more regular so I decided to start timing them. The first one I started timing lasted over a minute. Within 12 minutes I had 4 contractions. Things were moving quickly. I called Nancy again and had a contraction while on the phone with her. This one wasn't as strong so I was able to talk through it. She told me they were wrapping up a meeting and they'd be coming over after. She told me I was doing great and to keep breathing through the contractions. This was at 2:30–an hour after my water had broken–active labor was in full swing.

In the next 20 minutes things started getting really intense. The contractions were coming on so strongly that I needed to yell out in pain through them. I don't really remember what I did, I think I may have tried some different poses to labor in, but nothing was cutting me any slack. At 2:50pm R called me as I was having a contraction and I had to drop the phone and yell out in pain. At 2:52pm I called Nancy and all I could muster was "there's no breaks". And there weren't any, the contractions were hitting one after the next. I was being slammed down repeatedly by wave after wave, unable to come up for air. Nancy assured me they were on their way and instructed me to get in the shower while I waited for them.

I crawled my way into the bathroom, I was slow getting there. My dog watched and sniffed me as I writhed and screamed the long 15-20ft to the bathroom. I tried to sit on the toilet, remembering that lots of women like to labor there. I did not. It was not helping me at all. Sitting there it suddenly came to my mind that if I were in a hospital and someone offered me drugs that I would take them in a heartbeat. It hurt. It hurt like all hell. This was not what I had expected. I thought to myself that there was no way in hell that I’d ever to this again. One child would just have to do.

I peeled my clothes off and crawled into the shower. But the shower wasn't helping either. What happened to the soothing effects of warm water? Why was nothing helping me? I tried getting into different positions on the shower floor. Nothing felt good, nothing eased the pain.

R and D got home soon after 3. They found me screaming in the shower. I could hardly speak, but wanted to get out of the shower since it wasn't helping. It was such a struggle to simply relay this request to my husband. But I did and he helped me crawl on to the bathroom floor where he covered me in my bathrobe as I lay on my side screaming through the contractions. R sat next to me trying to relax me. I tried to get on hands and knees but my arms got too shaky. So I lay back down. I was scared. Everything was happening so rapidly. I was relieved that R was home now but I wanted, needed, the midwives. R assured me they'd be here soon.

The midwives arrived and seeing Nancy's face was a huge relief, she got down on the floor so that she could be eye level with me when she spoke to me. She encouraged me to make my screams low pitch, she held my hand. I felt safe as soon as she got there. I remember looking at her, with probably utter terror on my face, and telling her that it really hurt. And she looked at me with complete empathy and said,  "I know it does, you're doing great". They stayed with me and encouraged me during the contractions. Having the support around me gave me strength. I was in the thick of it, and there was no backing out. I knew the only way to move was forward. I thought of my grandmothers and all the women before me who had walked this path. I asked them for strength. I prayed. Something which I wasn't expecting to do. But I sought God out like I never have before. At one point I started yelling "yes". I knew I had to welcome the contractions to let my body open and saying yes prevented my mind from recoiling away in fear. Everyone said yes with me.

Nancy told me she was going to do an internal exam. And when she did it hurt so much I screamed out. She did it quickly–I was 9 centimeters dilated. During one of my contractions she asked me if I was bearing down, but I didn't know. She said it looked like I was ready to push. I couldn't believe it. It wasn't even 2 hours since my water broke. She and Sasha, the apprentice midwife, prepped our bed and told us to make our way over to the bed. I began to crawl over with R, stopping each time a contraction took hold of my body. We got on the bed and again I tried all fours but again it wasn't helping so I got on my back.

The breaks between my contractions got longer, which is normal during the pushing stage. The breaks were much welcomed and I let myself fully rest in between the pushing. When a contraction came I could feel it beginning at the top of my uterus and rippling down, I pushed with each one. The contractions were different from how they were previously. At first I was vocalizing a lot, but Nancy told me to use that energy to bear down. My sounds became low pitched deep rumbles and roars. It took every ounce of energy I had to push. I kept thinking about the baby, talking to him in my mind that we could do this together. Thinking about him made me stay calm, I didn't want my fear or panic to adversely affect him. I knew that a stressed mama made a stressed baby. I kept my eyes closed the entire time to stay focused within. At the same time I was acutely aware of everything happening around me. I remember Nancy on the phone with Tenaya, who also turned out to be the assissting midwife. Nancy told her to forget the tub - there was so time. At some point Tenaya came over but as I had my eyes shut the whole time I didn’t actually see her till after the birth.

I wanted to lie on my side but each time I was the baby’s heart rate went down, so I had to remain on my back. I kept a tight fist pressed against my sacrum as I just needed to have pressure there. My other hand would thrust down on the top of my thigh with each push. I was so overcome by the intensity of the experience that I couldn’t relax my legs open, I kept wanting to draw my knees together, especially when the urge to push came upon me. Nancy advised me to push my foot into her thigh, that helped a lot. I think my other leg was pushing against Sasha but I’m not sure. On the one hand I was scared and wanted to retreat and not push so hard but on the other I knew that this was it and that the only way for it to end was for the baby to come out, so with each contraction I revved up all the energy I had and pushed as hard as I could, visualizing the baby moving down. I considered getting up and squatting to let gravity aid in the baby’s descent. But the thought of moving again seemed a highly improbable feat. So I stayed as I was. In between the contractions I fully rested, while R dabbed my forehead with a cold towel.

I pushed for an hour and a half. I simply cannot express how amazing Nancy and Sasha were. With each push, they’d say, “Yes Nicola, that’s the way, you’re doing great”, or “You moved that baby down so much with that push, amazing!” At one point Nancy asked me if I wanted to reach in and touch the baby’s head, I  shook my head. For some reason at that moment I just couldn’t do anything other than what I was already doing.  When I could actually feel the baby in the birth canal I knew I was close. I was prepping myself for the “ring of fire”  sensation for when the baby crowns. I tried using our birthing class instructor’s mantra of “ring of water” in effort to soften the sensation. I can only describe those last moments as super intense. You don’t feel the baby in your uterus, but you feel it in your vagina, every bump and curve of its body. My pushing became more intense, I wanted the baby out and I didn’t care if I pooped or tore, I was actually pretty sure that I would tear, I was just going to push like crazy. I felt the crowning and had to wait for another contraction to push again, it might have taken one or two more contractions to get him out, I can’t remember. I thought once the head was out he would just slide out but pushing the body out hurt too.

Saying our first hellos.
But then, right before 5pm, he was out. And I heard his cry and everything–all the pain, all that intensity just vanished. There was a baby on my chest covered in the cheesy vernix. I finally got to meet the little person I’d been holding inside all these months. He was so tiny, so precious. It was several moments till I realized I still didn’t know if he was a girl or boy so I asked the midwives. They said I should check, so I did. Our gut instincts had been right all along, we had a son.

Everything after that was simply blissful. I had to birth the placenta which took no more than a mini push and a cough. We were given alone time with our baby boy. We held him and stared at him in amazement. I brought him to my nipple and he found his first latch. Nancy and Sasha came in and checked me. I had a one inch laceration on my labia, I had a few stitches. But my perineum was intact. R cut the cord. They did all the baby checks. Sasha guided me to my first pee (kinda hard to do after giving birth). They stayed maybe 3 hours after making sure we were all okay.

Skin-to-skin bonding with Dad.
It’s been 12 weeks already since that magical day. The amnesia that follows is pretty amazing. I don’t recall the pain anymore, just my reaction to the pain. I know at the time I vowed never to do it again. But I know now that I would definitely do it all over again. I am so grateful that I was able to have a home birth. Even if it wasn’t the one I had envisioned it to be. It was still the most amazing experience of my life. I’m also so grateful that I didn’t have the temptation of pain medication and that I had the support around me that I did.


I came across this from the article The Transcendent Quality of Pain in Childbirth by Karen Fisk from our birthing class handouts:

...pain researcher David Bakan, suggests that labor pain is necessary as the only thing "that can make tolerable the otherwise intolerable separation of ... a woman from her baby." David Bakan, Disease Pain, and Sacrifice: Toward a Psychology of Suffering (Chicago: University of Chicago Press, 1968).

Snuggling up for our first night together.
It rings so true for me. I had thought that I’d miss having the baby be part of me. That having him be a separate entity from me would be somewhat heartbreaking. But the experience of labor was the exact transition that I needed from being a pregnant woman to becoming a mother. I am in awe of the power of nature and its innate wisdom.

The past three months have been a whirlwind of amazement, joy, desperation and exhaustion. I’ll say it flat out - it ain’t easy! But I truly believe that the process of labor and birth is our rite of passage as women to become the fearless warriors that we need to be to mother our children.

Lastly, a few words on my partner. I spent a lot of time in my pregnancy freaking out over whether or not he would know what to do during labor. He had barely touched The Birthing Partner that’d I’d given him early on in the pregnancy. But he absolutely came through for me. And I feel so blessed that we were able to share this experience together. From the beginning he trusted me to go the home birth route, despite his initial reservations. All along he supported my choices and wanted me to have the birth I wanted. He came with me to the prenatal partners class and the home birthing classes. And at the birth he was amazing. Post birth too, truly caring for me and the baby. Nothing has ever bonded us or made us closer.

Thursday, April 12, 2012

Cocooning time ends

I guess I've felt it encroaching, but this morning it really hit me. I knew living in this cocoon couldn't last forever, but it was just so darn sweet. I've been so peaceful and mellow, totally content just cuddling with my baby. But I guess the lack of sleep accumulates, the adrenaline from the birth dissipates, and your hormone depletion starts to kick in. I woke up this morning, tired, frustrated and overwhelmed. Not about anything in particular. It had been somewhat of a rough night. My darling boy was being squirmy most of the night, I couldn't seem to get comfortable, and he wanted milk more than I thought he might.

But R took him for a little this morning and I was able to fade into a semi slumber for a short while before it was boob time again. But then I hold him and watch him suckle and am swept up in love again.

My midwife came for another visit yesterday. There will be 2 more visits and then we're on our own. They have been so amazing throughout this whole experience. So comforting to have. I wish all new moms could experience this kind of care. To be visited by your care provider in the comforts of your own home. To feel really held and cared for. The only downside is that you may just grow a little dependent on that care. I'm feeling slightly anxious that we'll be on our own soon. But they do try to wean you off them slowly, and make sure you're doing just fine. Plus, they hold new parent group meetings that we will definitely be attending.

My parents arrive this weekend. I've been so looking forward to having them here as I know their help is going to make life so much easier, especially since R will be back at work full time next week. But again I can't help but feel a little anxious again. I think it's the crumbling walls of this cocoon feeling. It's been so peaceful. I'm so reluctant to let go of this feeling. But it's been so beautiful, probably the most beautiful week of my life.

I remind myself to be flexible, to let myself move with the currents of time. Each day brings new joys with my son, and spending time with him in these early days with my parents will one day be memories I'll look back on tenderly.

It's so important to count your blessings. For one negative thought, one small fear can so quickly take hold of you and make you lose sight of everything else.

Wednesday, April 11, 2012

A week ago

Pretty much a week ago to this minute I had just finished writing my last blog entry and had gone to lie down for a nap before I went to pick up my friend from the train station, when I heard a POP which was followed by an overwhelming sensation around my cervix. I knew my baby was coming soon, but I had no idea it was going to be THAT afternoon.

It's funny that in my last post I wrote that ready or not it was showtime, because shortly after writing those words that's exactly how it went down. Ready or not, I was having my baby.

After hearing the pop of my water breaking, a mere 3 and half hours or labor followed and before the end of the work day my son was on my chest, all slithery, slimy and beautiful. Since then it's been a week of bliss, cocooned in the warmth of our home with this new life integrated so perfectly into our existence.

He is so perfect in every single way. And suddenly it's so clear to me, that everything that has happened in my life, every "right" and "wrong" decision, has lead me to this moment, to him and that all of it, absolutely all of it was meant to be.

I'll be sharing my birth story soon. Feels a bit like picking up the pieces of a dream, making sense of it, despite how short it was. This surreal time suspended, like a bridge, between before and after birth. I want to share it as precisely as I can account for. I try and go through it in my head everyday in fear that I might forget some small detail.

A week ago I birthed my son and became a mother.

Wednesday, April 4, 2012

37 Weeks and counting

Boy things seem to be picking up steam. I woke up the morning of 37 weeks and felt a whole new kind of pregnant.

Last week I finished work. My coworkers threw me a surprise waffle party in our kitchen pantry and they gave me a very nice diaper bag. It felt strange to leave work, especially knowing that unlike most I won't be returning. A new chapter begins.

Last week I also passed my driving test! So glad it's over, I think I literally slipped that in just in the nick of time. As now I'm not feeling at all with it enough to be taking a test. Although I am now surprisingly a lot more comfortable driving (freeway driving not included).

We had our Bay Area baby shower on Sunday, which included guys. We had a very casual barbeque in the outside area of our apartment complex. Unfortunately it was a very windy day and we eventually moved into the apartment. It was a lot of fun to see everyone, possible for the last time before baby comes. Of course we bought way too much food and now have an abundance of hot dogs and burgers in our freezer. Which is not exactly what i'm craving to eat right now.

What I am craving is some wholesome nutritious food. I've had a long bought of sweetness cravings but I am now wanting cleansing foods. I believe my body is getting into cleansing mode. I'm on my second day of diarrhea, which is supposed to be a sign of an encroaching labor. And it's not the type of upset stomach diarrhea, it almost feels more like when you get butterflies. I read somewhere that it could mean baby is coming in the next week... I see my midwives tomorrow and hopefully they'll have some insight.

Things are definitely shifting. I'm getting a lot of "you look ready to pop" type of comments. And honestly, looking at the mirror, I can't fathom my belly getting much bigger. This baby is done, the timer is about to go off.

A good friend of mine from Hong Kong is arriving shortly and staying with us till Monday. It will be great to have some company and help nesting, but I sure hope baby waits till after she leaves!

I am all at once in total disbelief, it feels like "showtime". After all the months of prep, it's time for opening night, you've done all you can do. I don't know why I'm relating birth to theatre right now, it's just what seems right. I used to do dance and theatre way back in the day and it kinda feels that way. It's that feeling right before the curtains go up. You've just gotta get on stage and give it all you got. Ready or not, it's showtime.

Tuesday, March 27, 2012

Pregnancy Photos

I'm so happy that we went to take some professional pregnancy photos. I felt a bit guilty at first with all the other costs of the birth and baby stuff. But now I am so grateful that we did do it. Here are a few of my favorites I wanted to share. Our photographer was Emily Payne, you can check her out here.










Wednesday, March 21, 2012

Time is a ticking!

We are at 35 and a half weeks. Leaving less than a month left now till D-Day!

So much has been going on... We moved! It was super exhausting packing and unpacking (still unpacking). Love our new apartment and getting acquainted with our new neighborhood and city - What's up Oakland!

We also started our home birthing classes every Monday, and we're already half way through. The class has been a great place to meet other couples going the home birth route. There's a real sense of community and normalcy. I think the class has been especially beneficial for R, to be able to relate to the other guys, and not feel like he is totally out of his comfort zone. There are other guys doing this too! And Jane Austin again, is just awesome. She is able to talk about it all, this week we went into some detail about pooping during labor, and she makes the subject funny, real and OK. Like you know what, it's really not a big deal. She's just able to really speak about all aspects of birth, the partner work, all of it and make it accessible and digestible without feeling overwhelmed. I truly feel blessed to be able to take her prenatal classes and this birthing class.

I've been doing my driving lessons and take my test next Monday! EEK! Wish me luck!

We took pregnancy pictures over the weekend and it was a wonderful thing to do to celebrate the pregnancy. It was pricey but I'm so glad we splurged on this as I will treasure the photos forever. I highly recommend doing something for yourself to celebrate your pregnancy. Especially at this stage when you start feeling whale like and new aches and pains are developing everywhere. Do something to feel beautiful! Be the star of the show for a bit! I will share some of our photos soon.

Things are winding down at work. There are mixed feelings of relief and a tinge of fear. Don't know when I'll work again, no income... it's a bit scary! But I'm very lucky I have a husband who is willing to work his butt off to support me and baby. We'll be on a tight budget, but we'll be OK.

One of the mamas in my prenatal group had her baby. Boy was that a reality check. Then over the weekend I think part of my mucus plug came out... Well I think it was. Spoke to the midwife. Things are fine and nothing to worry about. But things are changing, I sort of instinctively know that things are shifting in my body as it gets ready for birth. The pressure on my pelvis is increasing. I feel mild cramping around the lower part of my uterus. And sometimes baby is just moving all about I think he/she's ready to stretch those limbs!


Friday, March 2, 2012

Quote

From the book Birthing from Within:

Netsilik Eskimo Birth
"She brings her child into the world while on her knees and alone, without help. If it is winter, she allows the child to glide down into a small hollow in the snow on the platform itself. No skin lining is placed in the hollow for the child, which falls straight into the snow."
–Rasmussen, An Antrholopologist, 1931