Here's Nutmeg's birth story! The beginning will be a little redundant to you habitual readers, but if you skip the first few paragraphs, you'll get to the juicy stuff. I'll be updating this soon with Epu's comments.
Most women are dying for labor to begin once their
due date nears, but I was actually hoping to put
off the event for at least a day past my date. My
parents were arriving from Wisconsin on Friday,
two days before my April 25 date, and I had bought
three tickets to see Michelle Kwan and other
"Champions on Ice" at the HP Pavillion in San
Jose, ON April 25. It may seem crazy, but only 5%
of women deliver on their due dates, and with a
first baby, my mom and I both figured Hazel would
be late.
But a couple of weeks before my parents' arrival,
I started to doubt that assumption. My doctor told
me I was a fingertip dilated and she could tell i
was having contractions when she examined me. I
had been feeling slight abdominal cramps from time
to time but wasn't sure if they were contractions
or what. Dr. Kamali said to make sure we had our
car seat and that we stayed well rested, because
labor could begin at any time. I went back to the
office all excited and Erik and I shopped like
demons that weekend, rushing to get ready for the
event.
Nothing happened that week. One week before my due
date, the horoscopes in the Sunday Chronicle
seemed to be sending mixed messages. Mine said,
"Cross your fingers, hold your breath,and wait a
week." But Taurus, which would be Nutmeg's sign,
said that she should "take a deep breath and get
ready to begin the first week of the rest of her
life." So it seemed like Nutmeg's said she'd be
born that week, mine said she'd be born next week.
The next day, I saw Dr. Kamali and she gave me an
internal exam and said I as 1 and a half
centimeters dilated. She told me she'd be on duty
next Tuesday, and I hoped I'd make it till Monday
or Tuesday. We talked about what to do if I went
into labor, and I asked if I would have to go in
immediately if my water broke. She said I'd have
to go in but that they would probably just give me
some tests and send me home to wait for labor to
begin. That night, I was lying on the couch after
watching that bizarre Fox reality show, "The
Swan," when I felt warm liquid flowing out of me.
It came in several pulses. My pajamas didn't feel
wet, but I wanted to get into the bathroom to
check out what just happened. Erik was in there
though, so I washed off the stove and put away
some oranges from our organic produce delivery.
Meanwhile things were getting wetter down there,
and I was feeling excited but telling myself that
this might be nothing. But when I got in the
bathroom I saw that my underwear were soaked and
my pj bottoms were getting wet. The fluid didn't
smell like pee but was slightly pungent, with the
same scent as all the other discharge I'd been
having lately. A clean scent. I came out and told
erik that I thought my water had broken. We hugged
and he stammered a little bit, wondering what we
were supposed to do. I called labor and delivery
and described what happened, and they told us to
come in. Although I figured we'd probably just be
checked and sent home, we packed everything up. It
was after 11 by the time we set out for the
hospital. I had called my mom, woke her up, and
put her on alert. She said to call back if we got
admitted.
I listened one of my tapes on the way to the
hospital. After driving for awhile, erik said
something and I opened my eyes, thinking we were
there. But we were in an unfamiliar neighborhood
-- Erik, who can always find everything, had
gotten lost! I offered to call the birth center
for directions, but he figured out where we were
after awhile.
The emergency parking area at the hospital was
closed, so we parked on the street nearby and went
in, leaving all our stuff in the car. They had me
give a urine sample and put me in a triage room in
a gown. I had started to have some bloody show. A
nurse took my temperature and put me on a fetal
monitor. Then a resident,Tina Tan, came in and
explained that she would check my vagina and tell
me if my water had really broken or not. I had
little doubt that it had, but as soon as she
swabbed it, she said that my membranes had not
ruptured. They had a chemical test for amniotic
fluid, and there was none present. I felt a
combination of let down and relief -- but more
relief, because i did not want to have to be
induced if my labor didn't start within 48 hours.
Dr. Tan brought in an ultrasound machine and had a
peek at the baby. "Looks like a small baby," she
said. We told her that our ultrasound a week
before had shown that she was 3200 or 3400 grams
(7 pounds or less). She said 3200 looked more
likely to her. She also gave me another internal
exam and confirmed that I was still 1.5 cm. She
asked if I could feel the contractions showing up
on the monitor. I could, but i hadn't been sure
that those crampy feelings were contractions. Dr.
Tan said it looked like early labor, and would
probably stay that way for the next few days.
We got home after midnight, thinking that this had
been a good dry run. I considered making some
calls to Europe for a story I was doing at work
about a security flaw in Bluetooth cell phones.
But then I remembered we don't have long distance
service on our phone. I did manage to communicate
with the Europeans briefly by email. I arranged to
talk to them by phone the next morning, and we
went to bed, exhausted.
We had our prenatal appointment with our
pediatrician, Kara Wright, the next morning. I was
having a lot of Braxton-Hicks contractions, and
plenty of bloody show. So I told the folks at work
that this might be my last day, instead of Friday,
and I hurried to finish the article I was working
on. However, a security story broke that
afternoon, so I put my story aside to cover that.
By that time, the contractions I had been feeling
seemed less frequent. I told my editors that I
would probably come back for a half day the next
day to finish the piece. My mother called at about
6 and scolded me for still being at work. She told
me to take a cab home and put my feet up. She
really didn't want me to go into labor! I agreed,
but instead I walked over to Whole Foods and
bought a couple bottles of Recharge, the natural
Gator-aid-like drink that our childbirth
instructor had recommended. I felt like I might
not have another chance to pick some up. That
night Erik helped me make snickerdoodles as a
goodbye offering to my coworkers. We wanted to
make them for the nursing staff at the hospital,
so this was like a practice batch. I sat down much
of the time, and let Erik take the trays in and
out of the oven and do much of the other work.
The next morning I felt back to normal, but I went
home after my story was edited -- about 3 p.m.
when I put on my jacket and said goodbye almost
the whole section got out of their desks and i got
a lot of hugs. It was really sweet. Then I walked
home, feeling a strange sense of freedom. All my
thoughts had been centered on the baby, and I
hadn't given much thought to the idea that I
really wouldn't have to show up for work or even
think about software for 6 months. I rested that
afternoon, but the next day I started cleaning the
house in preparation for my parents' arrival. I
organized and vacuumed the closet, one area that
had been a dust haven for a long time. I no longer
felt like I was on the verge of going into labor.
I managed to listen to my hypnosis tape and take a
nap in between cleaning and loads of laundry the
day my parents arrived, Friday. We were all so
happy I'd made it. Mom and Dad got to see the
dramatic way Nutmeg sometimes moved my belly.
Saturday, we got my parents settled in the sublet
they were renting, went to the Presidio to get our
car seat installation inspected, and then we
walked toward the Golden Gate and checked out the
old fort there. We walked up a lot of stairs to
the top level, where there were a bunch of
platforms that used to hold cannons. I practiced
the lunge our childbirth instructor had taught us
on one of the platforms, and it gave me a
contraction. The rest of the day, I had mild ones,
but nothing too attention-getting. I made the last
minute plans for getting down to San Jose the next
day to see Champions on Ice -- chose a restaurant
to meet at, printed out a Mapquest. Then we went
to bed early, since I hadn't slept well the night
before. We actually got a little frisky, something
that hasn't happened in months, but we didn't have
intercourse because I didn't want to bring on
labor before Champions on Ice.
Sadly, I never made it to the show. I woke on and
off with contractions that night, and at 3 a.m. I
got up and moved to the couch, where I listened to
a hypnosis tape and then another, trying to lull
myself back to sleep. I even drank a glass of
wine, for the first time since finding out I was
pregnant. I ate a couple of strawberries, and
tried another tape. By now I suspected that the
cramps I was feeling were the real thing, but I
kept hoping that they would go away. I should have
tried drinking a lot of water, but I didn't think
of that, or I don't recall doing that at least. I
started feeling nauseous. Finally at 5:20 a.m.,
after a strong contraction, I threw up loudly in
the bathroom -- the wine, strawberries, and
everything else hanging around in there. Erik
called to me from bed and when I didn't answer
showed up in the bathroom. The vomiting convinced
me I was really in labor, and I told him so. But I
also said I'd been trying to go back to sleep, so
I got back in bed and he read me the hypnosis
script called "Peaceful Sleep Now," which usually
knocks me out. But as he read, my contractions got
stronger and closer together, and I interrupted
him partway through to say we'd better start
timing them. I told Erik to look in the
Hypnobabies binder, in my hospital suitcase,
because I thought there was a sheet in there for
recording contractions. He got it out but couldn't
find any such page. I got in the bathtub, and at
other points remember lying on the living room
couch with the bathroom garbage can by my side. I
was drinking the lemon recharge but retched it up.
I listened to the first tape reserved for the day
of birth, "Birth Day Affirmations." I was feeling
very calm, and the contractions weren't exactly
painful, although they weren't pleasant either.
But they seemed to be less than 3 minutes apart
from when we first started timing them. It was a
little difficult because I wasn't always sure when
one started or ended, and because Erik was running
around doing things like last-minute packing and
wasn't always there with his cell phone, which he
was using as a stopwatch. But we decided to call
my parents and let them know. Hypnobabies tells
you that every 20 minutes during your birthing
time would seem like 5 minutes, and I think that
time distortion was working, because I thought it
was still around 5 a.m., and Erik told me it was
after 7, I think. My parents said they'd get
dressed and would be waiting downstairs if we
called as we left the house. Then we called labor
and delivery and described what was going on. They
told us to take our time but to come in. I told
Erik he could take a shower, and while he was in
there, I called Bert and left messages on her home
and work phones to tell her we wouldn't be going
to champions on ice, and that she should probably
call us back to arrange to pick up the tickets at
the hospital. In one of the messages i think i
sounded normal, but in the other i was having a
contraction. Mom called and i told her -- with
some pauses -- that it would be awhile longer
because Erik was taking a shower and they told us
to take our time. I gathered a few of our things
between contractions and got myself dressed in a
black maternity sweatsuit and even put a red
bandana over my hair. I actually looked kind of
cute.
I lay down and listened to the "Deepening" tape to
prepare for the car ride. When Erik had the car
all packed, I went down, carrying my pillows, some
plastic bags and toilet paper in case I puked en
route, and my little case of Hypnobabies tapes. I
was wearing my Walkman. Sitting in the car didn't
make the contractions much worse except that I
couldn't change positions. The position I had
found to be most helpful so far was on all fours,
sometimes doing the pelvic tilt, which was also
supposed to be good for positioning the baby
facing back. I felt a little nauseated in the car,
but just rolling the window down helped. In the
car I listened to the Birth Guide, the Hypnobabies
tape that you are supposed to reserve for the day
of birth. It was telling me how my cervix was
opening, how I welcomed my surges, etc. We picked
up Mom and Dad, and I turned my lightswitch to
center (a Hypnobabies tool that means switching to
a lighter state of hypnosis in which one can walk
and talk) and quietly said hi to them. They were
solemn, my dad more than my mom. I smiled and told
me dad it was ok, then turned my switch back off
and hit play again on the Walkman. They got in the
backseat, and the next time I opened my eyes we
were pulling into the emergency parking lot at the
hospital. They helped me out of the car and we
walked in slowly. Erik says it was about 9 a.m.
Halfway down the hallway to the elevator I had to
kneel on the ground and throw up into the bag I'd
brought. Good thing Erik thought of that! While I
was down there, a hospital employee stopped to ask
if we needed help. Erik said, "It's OK, she's just
throwing up." Them employee said, "JUST throwing
up!" and I think she was laughing at him. She
offered to get a wheelchair but I shook my head. I
think someone else came by with the same offer,
but my mom told them I wanted to walk.
As usual I felt a little bit better after throwing
up, and we took the elevator up to the birthing
floor, the 15th floor at the University of
California-San Francisco Medical Center. We signed
in, my signature pretty shaky, and went to the
desk. They put me in a triage room and my parents
went to the waiting room. Since Erik and I had
been there on a false alarm a week before, we knew
the drill. I went down to the bathroom to give a
urine sample, then came back to the room and
stripped from the waist down, and got on the
table. Sometime in there my water broke, but --
much like when I thought my water broke the week
before and went into Labor and Deliver -- it was
just a small gush followed by a trickle. Later in
labor I don't remember losing any water at all, or
I didn't notice it with everything else going on.
I was listening to my birth guide tape on and off
-- turning it off whenever someone came in and
said something to me. I asked for a bedpan to
throw up in and barely got one in time. "You're in
labor all right," the nurse said. Before I was
checked Erik asked the nurse if she thought we
would be admitted, and she said she thought so.
Someone checked me and declared me dilated 5-1/2
centimeters. I was very pleased with myself.
They admitted us and I still had enough presence
of mind to get Erik to follow the nurse out and
ask which birthing room we were getting. The
really good room there is room 2, the corner room,
because it has windows on both sides overlooking
san francisco. But we were assigned Room 3. On the
way to the room I think a nurse asked me how my
pain was. I told her that I was using hypnosis and
that I was not supposed to talk about it in terms
of pain, but pressure. I said the pressure was
strong but bearable.
This nurse, whose name was Sushila (I don't
remember the spelling but I had the presence of
mind when she introduced herself to tell myself to
remember her name pronounced "Sue-Shiela.")
remarked that I was really calm for being so far
along, and that a lot of women were freaking out
by this point. That made me feel really good, like
the hypnosis was really working like it should.
A few hours later, in the room, Sushila said she
wanted to try hypnosis herself after seeing it
work for me. I think she wanted to use it to stop
smoking.
They gave me a stretchy band to put around my
abdomen, which would hold on several monitors. The
monitors were wireless, so I could move around
freely. I told them I wanted intermittent
monitoring, and they said OK after the initial
baselines were established, or something like
that. Erik went to get my parents and we all went
into the birthing room, and I guess Erik went down
to bring up my things and repark the car. I had a
ton of stuff -- birthing ball, portable stereo,
suitcase, pillows, and a big shopping bag full of
snacks, drinks, comfort measures like a
microwavable hot pack, a loofah, etc. etc.
My parents were really thrilled with the view from
the birthing room -- UCSF is on a hill and you can
see all the way to the Bay. It was a beautiful,
warm and sunny day and they enjoyed watching
sailboats on the Bay. Erik pointed out about where
our apartment would be, way over in South of
Market. Of course, I never enjoyed the view much
myself, and the postpartum rooms are on the other
side of the building, with a lovely view of some
steam ducts. It's funny, the way hospitals make
the birthing rooms, where most women are too
occupied to notice what they're looking at,
beautiful, huge and comfortable, while the
postpartum rooms, where you spend most of the time
and receive visitors, are cramped and
unattractive. I guess they figure the less
pleasant the postpartum room, the less you'll want
to stay.
They started me on a fluids IV, since I had been
vomiting since 5 a.m. I hadn't wanted to have an
IV but I agreed at that point that getting
hydrated would be a good idea.
I wanted to get into the bathtub as soon as
possible, so I asked Erik to start filling it
while they put in my IV. The gown I was wearing
had shoulders that untied so I could get it off
while still wearing the IV, but I was still
wearing the tank top I had come in with and my
bra. I got in the tub with them on, and then my
mother, who is a nurse, detached the IV tube from
the needle on my hand so I could get them off. The
tub with jacuzzi jets felt very good. We put a
Hypnobabies tape on the portable tape player we'd
brought and I got back into deep hypnosis.
The anaesthesiologist came in and said she'd like
to talk to me about my pain control options. I
turned my switch to center and told her I didn't
want to talk about it, and Erik went out with her
and closed the bathroom door so she could tell
him. I could hear him through the door telling her
that I didn't want an epidural because I was
concerned that it would stall my labor. She said
that when people were already beyond 5 centimeters,
like I was, that didn't happen. My mom stayed in
the bathroom with me, and softly said, "release,"
or "relax" to me when I was having a contraction.
Both are cues from Hypnobabies; one is supposed to
send me into deep hypnosis, the other is supposed
to give me an extra wave of relaxation, and I
don't think she remembered which was which but it
didn't matter much. It helped. My mom said she
liked hearing what was on these tapes I'd been
listening to on headphones. When the tape got to
the part telling me to wake up, I'd tell her to
turn it over or put in another tape. After awhile
-- I have no idea how long because I had no sense
of time passing -- I said I wanted to get out of
the tub. My mom helped me get out and get dried
off.
Sometime in there Erik got in touch with Bert and
arranged for her to come by the hospital and get
the tickets. My dad went downstairs and gave them
to her. I later found out that she was able to
sell the tickets in the parking lot of the HP
Pavillion in San Jose and gave us the cash. What a
great friend! She had to go to San Jose anyway to
pick up her boyfriend at the airport so she didn't
mind driving down there.
I asked Erik to give copies of our birth plan to
the nurses on duty. I told him exactly where they
were: in the front pocket of our Hypnobabies
binder. I also asked him to put up the sign on our
door asking people to be quiet because we were a
"hypnofamily." But Erik said he couldn't find the
binder, which was bad because that had all the
cues, extra scripts for "change of plans" and the
transformation (transition) stage, in it, as well
as the form we filled out for our baby's birth
certificate. We later realized that Erik must have
left the binder out of the suitcase when he looked
in it for the surge recording sheet. Fortunately I
was too focused to let this little mishap throw me
much, but I still don't know if anyone helping us
ever looked at our birth plan. There were two
copies in my patient file, but I don't know if
they read it.
The following hours are jumbled in my memory. I
know I got another IV bag attached, and that I sat
on my birth ball for awhile, and that I continued
to drop to my knees if I was moving during a
contraction or sometimes even if I was sitting
down. Erik gave me some papers I had to sign
authorizing the hospital to take care of me. I
think I may have had my progress checked and told
I was 6 centimeters. I do remember they told me
they'd check me again in 2 hours, and I focused on
that as the surges became more intense. I felt
them in my back, as well as my whole abdomen, and
was feeling rectal pressure, so I believed I was
getting close. I sat in the rocking chair, facing
the amazing view of all San Francisco. I thought I
might want to look out, but as soon as we started
playing a tape again I closed my eyes instead. I
wanted to rock to help move the baby down but the
rocking chair was broken and would not rock. I got
out of it a couple times so Erik could fiddle with
it but it would not rock. We asked a nurse if we
could switch it with the chair in another room but
she never brought one. I spent much of the time
until my next check in that rocking chair, getting
deeply relaxed. I started counting down during
contractions, starting at 60 and often ending up
in the negative numbers. Once when I was on the
floor Erik rolled a cold soda can up and down my
lower back, one of the comfort measures we learned
in childbirth class. It felt good. But he never
did it again. He did heat up the hot pack and put
that on my lower back periodically, and that
helped a lot too. He also asked if I wanted to get
up and walk or try some lunges, and I told him no.
At the time I felt frustrated that he didn't
understand that I was in the mode of just trying
to get through the surges, not trying to make
labor progress, since I had already progressed a
lot. But I was really not able to communicate very
much, I spent most of my time with my lightswitch
off, listening to tapes. My mom asked once if I
wanted to get on my birth ball, saying I had liked
it before. But I said no. Later I asked Erik why
he didn't offer all the comfort measures we had
brought, or ever offer the can massage again, and
he said it was because I kept saying 'no' to
everything he suggested.
Early on I remember my mom saying, "good job"
emphatically at the end of one and I opened my eyes
to look at the monitor and saw that the
contraction I'd just had was a large mountain with
a big flat plateau on top. At some point one of
the monitors started hurting me, as if it was
burning my skin, and my mom helped me pull that
one off. I got very relaxed and almost dozed
between some contractions. At one point I heard a
baby cry in the next room and I smiled for a
moment. My mom silently touched my hand.
My parents went to lunch in the cafeteria and
brought Erik back a sandwich. I asked him to eat
it outside the room since I was still nauseating
and throwing up periodically. I had tried sipping
the orange Recharge, since the lemon was too
acidic, and water, but both caused me to throw up.
I didn't interpret the pressure I was feeling as
pain, because I had told myself not to. But
whatever they were, I was finding the surges more
difficult to bear as time goes on. I don't know if
they were getting stronger or if I was just
getting tired. I asked my mother in a weak voice
if she thought I'd be complete when they checked
me. She paused and replied, "I think whatever you
think, that's what will happen." She had obviously
been listening to the tapes, and it was a good
answer.
Finally a doctor came to check me at around 3 p.m.
I think it was Dr. Tan, the same resident who we
saw during our false alarm the week before. I got
in bed for that, with my heels touching each
other. There was something like a clock on the
wall opposite the bed, but it never told me the
time, frustratingly. It was some other kind of
meter, I guess. Anyway, Dr. Tan told me I was 6
centimeters. That was it. I asked if it was too
late for an epidural, and since it wasn't, I said
I wanted one. So I stayed in bed, where I would be
for the next seven hours. Erik asked me if I was
sure I didn't want to try something else first.
Before labor, I had said I was interested in
trying nitrous oxide. But now I felt that I was
too tired, with who knows how many hours ahead of
me, and I didn't want to mess around. As I lay on
my side in bed, the hot pack soothing my lower
back, I considered changing my mind, but when the
anasthesiologist came in, I told her I wanted to
go ahead.
Before the anaestesiologist got there, Dr. Tan
came in and said "You did great, and you're still
doing great." She said she wanted to put a
pressure catheter in me because the contractions
did not appear to be as strong or regular on the
monitor as she would like them, and that was
perhaps why I was not progressing. If the pressure
catheter read that I was not having powerful
contractions, she wanted to give me pitocin. I was
surprised to hear that, since it had felt like the
experience was getting more and more intense to
me, not tapering off. I even doubted it was
accurate, because my dad -- who was in the room
much of the time but left when someone checked me,
etc. -- had commented that some of the
contractions I appeared to be having were not
showing up on the monitor. I asked if perhaps I
had become too relaxed. She said maybe my body was
actually tensing up too much. But I said I didn't
think so, because I felt I had remained pretty
relaxed. I asked her to wait until the epidural to
put in the pressure catheter, and she agreed.
My mom came in and I muttered, "Sorry," to her.
She said, "Oh honey, you don't need to apologize,
you have been doing so great! Believe me, if an
epidural had been available to me, I would have
taken one." That meant a lot to me because she
knew that I was inspired by the fact that she had
my brother and I naturally and that I had wanted
to do the same.
The anaesthesiologist had me lean forward over
something on the side of the bed, maybe the eating
table, while she set up the epidural -- first a
local anaesthetic, which stung, then taping the
tubes to my back, then inserting the epidural. She
apologized about making me stay in the awkward
position, but I said that actually it was a pretty
good position. She explained that first a
fast-acting drug would take effect, and then the
real epidural would kick in within an hour, I
think. Once that had kicked in, I could increase
the amount of pain relief by pushing a button at
my side. I wanted to know if we could turn the
epidural down or off when it was time to push, and
she said yes. She even said I would probably be
able to squat on the bed to push if I wanted to.
The medication kicked in VERY quickly, and I was
like a different person. I looked around, noticed
that my dad was in the room, and chatted a little,
laughed. I remarked on how different I felt, and
my mom said that as a labor and delivery nurse she
had seen this transformation many times before. I
felt like, why did I bother fighting through all
those hours before? Especially now that they added
pitocin to my IV and watched the monitor as my
contractions got harder and more regular, and I
was resting, trying to look out the window -- I
still couldn't really see the Bay from bed -- and
eating jello, a popsicle, even taking a bite of
Erik's energy bar. My nausea vanished and instead
I felt hungry. Someone tested my legs with a wet
piece of paper and asked if I could feel the
coolness. In some spots I could, like down by my
feet, in others I couldn't. I could still feel the
pressure waves but the discomfort was gone and I
felt relieved and cheerful. Erik and I both lay
down and tried to nap. My mom and dad were talking
quietly, and after awhile I asked them as politely
as I could if they could go to the visitors'
lounge, because I really wanted to sleep. I dozed
very lightly, but every time I was about to fall
really asleep either I would feel a pressure wave,
usually on the side I was not lying on (the
epidural medication flows with gravity toward the
lower side), or someone would come in to comment
on my pressure waves showing on the monitor. They
said they were getting better but still not as
strong as they wanted to see. Still, I got rest.
And I listened to my birth guide tape again and
another one, hypnotic childbirth, I think, to
prepare myself for pushing. I said that I was fine
with taking a few more hours to dilate, just to
have the chance to rest. We wondered whether the
baby would be born today or the next day, which
was my grandma's birthday. The next shift nurse,
Sasha, looked at the clock and the monitor and
said that I was going to push this baby out before
midnight.
When I was done trying to nap, we chatted with
Sasha. She said she was a traveling nurse, that
she had been stationed in Hawaii and the Virgin
Islands, and that she was only here between
assignments.
The wind picked up, whipping around trees outside
the window. At a little before 7, Dr. Tan checked
me and said I was complete. I asked if I could
have half an hour to prepare myself -- I wanted to
listen to the Deepening tape and then set my
switch to center for the pushing, which would
allow me to move around while maintaining total
anaesthesia between the top of my breasts and the
middle of my thighs, even if we turned off the
epidural. They said I couldn't wait that long, so
I said I would just take a few minutes. I turned
my switch to off, got as deep as I could, and
turned my switch to center and said I was ready. I
asked if I could squat with my husband in bed
behind me, supporting me. It was a position we'd
tried out and liked in childbirth class. Erik got
in bed behind me, acting very dubious about it
despite the fact that we had rehearsed this
position. They sent in an RN who apparently was
very good with birth positions, a woman with a New
Zealand accent. She explained that I wouldn't be
able to squat because with the epidural I might
damage my knees without realizing it. But I could
get up on my knees for a few pushes, which was
just as good as squatting, she said. She also said
that she had seen the side lying position, with
birth partner holding up the upper leg, help women
push out the toughest babies. She had Erik get out
of bed and we raised the head of the bed up almost
vertical. They helped me turn myself around
without pulling out any of the tubes attached to
me, and I leaned over the back of the bed. Then
the New Zealand nurse said, "There's a
contraction, you should be pushing now!" I pushed,
and she said it was a very good push. We did a few
that way, and then she had to go, because it was
the end of her shift, I guess. Sasha also went
home, saying she was disappointed that she wasn't
going to see Nutmeg be born.
I don't remember much about the next nurse on
duty. After awhile my legs were getting tired and
shaky so I came down off the knees position, and
lay on my side. Erik stood on one side of the bed,
my mom on the other. When a surge started, I was
supposed to hook my elbow through the knee on my
upper leg, and the person on one side of the bed
would hold up the leg and push it back. I didn't
push the epidural button anymore (I had pushed it
two or three times during the hours when I was
waiting to be complete), and I could then feel the
surges quite clearly. I didn't feel that my
pushing was compromised at all, and people were
telling me that I was pushing nice and hard.
Someone said something about what I should do for
the first couple of hours, and I laughed. "Hours?!
I said. I believed I would have the same
experience other hypnomoms had, pushing the baby
out with just a few good pushes, as I had
visualized.
But it was hours. The doctor, and later the nurse
too I think, put her fingers in the birth canal
several times to feel the baby's head, and advised
me to push against her fingers, which felt strange
because otherwise people were telling me that I
should push as if having a bowel movement, which
felt different than pushing against the fingers. A
big challenge was that, much like I was before the
epidural and pitocin, I was having double surges
-- one after another, then a break, then two more.
The nurse said I should avoid pushing during the
second of each pair, or I would get too exhausted.
But the second surge, when I wasn't pushing, felt
really intense. Sometimes I let myself push gently
during that one.
After awhile I asked to get back on my knees, but
didn't last as long this time. Maybe four pushes.
My legs were too weak. I took sips of water from
Erik between pushes, and ice chips. But while
drawing in my breath and holding it for pushes, I
often found myself burping or spitting up a
little, so I drank as little water as possible.
Hypnobabies says you're not supposed to push, but
"breathe" your baby out, but I had never really
understood that part that well, and I had the urge
to push, so I just went along with the nurses'
instructions, although I did push as I slowly
released my breath at the end of each
breath-holding period. They said I should be
pushing a little longer during each surge, so they
started counting down from 10 during each one,
which I found helpful. For some reason the monitor
still didn't show my contractions very clearly I
guess, because I had to tell them when a surge was
starting. I would say, "Is this one?" and the
nurse would either say yes or just, "If you feel
one, it is one," and I'd grab my knee, Erik or my
mom would lift my leg, and I'd push. Often I kept
pushing after my mom finished counting to 10.
Hours passed. It got dark out. Eventually they
said they could see the baby's head, although only
while I was pushing, not between surges. They said
the baby had a lot of hair. This encouraged me,
and I pushed harder and longer, because people
were urging me to, believing that I would get the
baby to crowning at any time. I was pushing two or
usually, three times during each surge. And
getting tired.
After what seemed like forever, I was able to
reach down and touch the baby's head. They never
actually told me she was crowing, but I guess that
was it. They brought in a big mirror so I could
see her, but I couldn't really look because I
didn't have my glasses on and I was supposed to be
folding my chin down towards my chest while
pushing, which made it pretty much impossible to
also look in the mirror. I didn't want to waste a
single surge looking; I wanted to get this done.
Finally the nurse advised that we keep my leg up
between surges, to prevent the head from slipping
back. That worked, but it made me even more tired.
I was moaning loudly during the surges when I
couldn't push. My dad was out in the hall, reading
"To Kill a Mockingbird," and getting nervous
because 1) He thought pushing would only take
about 20 minutes, 2) He heard me moaning, and 3)
More and more people kept coming into the room.
First the nurse told someone to get the doctor,
which my mom told me, ecstatically, meant I was
almost done. Because it's a teaching hospital,
more doctors came in too, although I didn't really
notice any of them. I was lying back with my eyes
closed between surges, trying to gather up my
strength. I reminded the doctors that we wanted to
keep the baby with us for the first hour, before
any drops were given or tests done, and they said
fine.
People kept saying, "Big push, now, this is it,"
and things of that nature, leading me to be very
frustrated when push after push, nothing happened.
The only thing that did happen is that with the
baby crowning, the pressure I was feeling
increased tremendously, so it felt like I was
having one constant surge. I wasn't sure when they
were coming anymore, and it didn't seem to matter.
I said one was coming when I thought I might be
having one, or anyway when I felt up to pushing
again.
Dr. Tan said she was massaging my perineum,
because it was all that was blocking the baby's
head from coming out. It felt quite uncomfortable.
"I'm just giving you a little massage," she said
at one point, and I said, "Nice massage." The
other residents and nurses laughed at that. I
asked at one point if they wanted to try a vacuum,
and the nurse or someone said, "You're going to
push this baby out." Someone encouraged me to
reach down and feel the baby's head again, and I
snapped, "I already felt it!" provoking more
laughter. My dad said later that these moments of
laughter gave him considerable relief, out there
in the hall.
No one offered hot compresses to help my perineum
stretch. This is something we'd considered in our
birth preparation, but decided not to do, because
I didn't want Erik to be running out to the
nurse's station to microwave hot compresses and
miss the birth. "There will be enough going on at
that point," I reasoned. In retrospect, I would
have used ThermalCare packs, which don't need
microwaving, and definitely done the compresses.
Also, I wish we had done perinneal massage, which
we skipped because I read that it is debatable
whether it actually helps prevent tears. Who knew
that my whole birth would come down to having a
perineum that would not stretch??
Finally, finally, Dr. Tan said, "I could make one
small episiotomy and the baby would probably come
out on your next push." This is what I wanted to
hear. At this point, I was so desperate for a way
out, a C-section probably would have been welcome.
"Cut it!" I said, and there was more laughter.
What happened next was not clear to me at the
time, except that Dr. Tan said that I would push
as normal during the next surge, and that it was
very important to stop pushing when she said. The
surge came, I pushed hard, I stopped when she
said, and in a moment my mom was rolling up my
gown, and my baby arrived on my chest, her wet
hair looking wavy and her skin looking very brown.
She wasn't really covered with blood or anything
as gross as a lot of the babies in the films in
childbirth class; she looked like a real baby. But
she wasn't crying. I said, "Oh my god, oh my god,"
just as the woman in one of the films we saw said
at that point. It was 10:20 p.m.
I was certainly surprised and unprepared to hold
Nutmeg so soon; I had thought they would suction
out her mouth and nose while just her head was
protruding out of me, and that I would push her
body out with the next surge. But as suddenly as
she had arrived there, she was whisked off my
chest. "You already cut the cord?" I asked,
surprised. "I cut it," Erik said. They took Nutmeg
off to an isolette on the other end of the room,
under a heating lamp. "Go with her! She'll know
your voice!" I told Erik, and he went over there.
My mom went too, and I saw my dad push aside the
curtain in front of the door and go over there
too. I heard one of the doctors saying, "Where's
that aspirator?" It was lying on the bed next to
me. I held it up, and called out, "Here it is!"
and someone came over and got it.
Soon I heard Nutmeg cry, and a good-looking male
resident told me she was fine, but that she had
passed meconium just as she was coming out, and
that they were going to take her to the nursery
for an hour to observe her breathing and make sure
she hadn't inhaled any. I hadn't seen him come in.
He also showed me some of the meconium on my
thigh, and said something like, "the first time
your baby pooped on you." "Not the last time," I
joked. "Probably not even the last time tonight,"
he said. Dr. Thiet, a perinatologist I had seen
once before, was also there.
My mom came back over by me, and said that the
baby was fine. Dr. Tan delivered the placenta,
which was really easy, and let me get a look at it
-- like a big slab of bloody liver. Then the male
resident told me I had a fourth degree tear,
looking very serious. "Is that like, all the way?"
I asked, and he said yes. That is, all the way
from vagina to anus. I don't know if it was the
adrenaline, or just the relief, or the epidural
still, but I didn't care. He stitched me up,
saying that it was the smallest fourth degree tear
he ever saw. I joked that this would delay my
return to the rock climbing gym, and he said no,
that this area of the body heals very quickly. He
asked if I felt any pain with the stitches, which
I didn't. "That's a good epidural," he said.
Sometime in here Erik and my dad went to the
nursery with Nutmeg, and videotaped her there. The
resident started telling me about how they wanted
my first stools to be very soft, almost liquid, so
they were going to prescribe me a stool softener
and milk of magnesia, blah blah blah. I felt like
saying, "whatever, I could care less."
Later, my mom told me this had obviously been Dr.
Tan's first epidural. First she had tried to cut
it between surges, then she had grabbed the
scissors for cutting the cord instead of the one
for epidurals. Both times, the male resident
stopped her. Also, my mom later told me that they
had suctioned out Nutmeg's stomach to get the
meconium-tinged amniotic fluid out, and that
Nutmeg's Apgars were only 6 and 8 because she
initially didn't cry and then was doing a grunty
breathing called "abdominal breathing." Apparently
some of her breathing trouble was probably because
her body came out so quickly, that there wasn't
time for the squeeze through the birth canal to
force all the mucous out of her lungs. My mom had
been more concerned than she let on, because of
her labor and delivery experience. But Nutmeg is
fine.
They brought Nutmeg back in less than an hour, and
she was still awake. But, swaddled and in the
hospital hat, she seemed like she belonged to the
hospital, not to me. Still, we put her back on my
chest, and my mom helped me get her latched on to
my left breast. She sucked for about two minutes,
after a couple attempts, and we were thrilled. She
was so cut, with gray eyes and all that brown
hair, and skin that looked like she had a little
suntan. Oh, and she weighed 7 pounds, 11 ounces,
which was another shock, because everyone who saw
my ultrasounds had predicted she would be small,
under 7 pounds.
Three weeks later, with Nutmeg snuggled against my
still-flabby abdomen, I can't help rethinking my
delivery again and again. To tell the truth, it
dominated my thoughts during my hospital stay, a
time when I thought I'd be consumed with wonder
and love for my new baby. I did feel "love at
first sight" for Nutmeg, yet I was even more
preoccupied with the strange experience I had just
been through. At first I felt that I had made the
right choice with the epidural, since I figured I
would never had made it through that long pushing
stage without that rest. But later, I started to
think that the pushing wouldn't have lasted so
long without the epidural. But the pitocin
probably would have been too intense without the
epidural, I thought. But then I wondered what I
could have done to prevent my labor from petering
out like that -- stayed home longer? Followed Erik
and my mom's suggestions to squat and use my birth
ball? I should have walked the halls, I told
myself, but I couldn't imagine how I could have
managed that. Later, my mom told me that the women
you see walking the halls are usually in early
labor, not in active labor like I was.
I always told myself that women were silly to
obsess over their birth "experiences," because
it's having a healthy baby that matters, no matter
what the mother goes through. But now I
understand. I keep wishing I could relive the day,
do it better, so Nutmeg would have come out more
quickly and we would have both been in better
shape.
And I felt disappointed that Hypnobabies
didn't work for me as well as I thought it would.
I wonder, was I too skeptical, did I ruin it by
going to a non-hypnobabies birth class? I
certainly practiced enough. But although it didn't
get me through the experience totally pain-free or
epidural-free, in the end I'm glad I studied
Hypnobabies, because I was never in excruciating
pain, and I really did get halfway there very
quickly on my own at home.
In the end, I decided that I'd like to use
Hypnobabies again for my next birth, but I will
hire a hypnodoula. As wonderful as my husband and
mom were as coaches, I think I would have stayed
deeper in hypnosis with a professional
hypnotherapist. And now that I've been through the
experience, I can appreciate the value of a
professional doula too. I felt like my husband
should have done more, offered more, taken charge
more, but that is really too much to ask of a lay
person who is going through an amazing and
unprecedented experience himself. He was wonderful
-- he even carried an index card with a list of
comfort measures in his wallet -- and I would want
him by my side again, but next time I'd like to
put less pressure on him and allow him to just
enjoy the experience, and be there for me.
Where I am
1 day ago
1 comment:
I am totally amaxed at this story. You described the feeling of not knowing time was passing so quickly. I am quite jealous. You sounded so relaxed and focused. You were able to pass the time and get to active labor without any of the feelings I had.
This story is inspiring to me that this technique can really do wonders for people. I would have loved the ability to "switch" people off and on. I would have loved for my husband to be armed with soothing techniques.
What an incredible story, as much as you would have liked things to go differently. I am totally impressed. Congrats on her birth—a few years late.
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