Like all birth stories, this one begins with pregnancy.
However, in an effort to avoid this entry being much longer than necessary, I
will summarize my pregnancy with Evelyn by saying that it consisted of an out of
state move at 34 weeks, and a hardship on my marriage that my husband and I
nearly didn’t make it through. Perhaps it was Evelyn that acted as the glue
that held it together until the broken pieces were mended. Not even earth-side,
and she was already changing my world.
.
Fast
forward to her birth, I was planning to have a Vaginal Birth After Cesarean
(VBAC). Emerson, now 2, was born via C-section. The official reasoning
for his C-section was “failure to decent” although in my heart I never knew if
he truly couldn’t make it through the birth canal, or if the hospital staff
simply grew impatient and resorted to fear tactics to talk me into having the
procedure. My suspicion has always been that the labor simply needed more time,
and had we waited, my son could have been born vaginally. I’ll never know.
Regardless, this brought me to seek a VBAC with my second baby. While in
Missouri I was working with a midwife that I absolutely adored and trusted
whole-heartedly. I also loved the doctor that would be overseeing my baby’s
birth. I was also working with an amazing woman named Lauren who was a Doula
and a prenatal yoga instructor. Lauren also taught Hypno-Babies – a method of
pain relief during labor using self-hypnosis.
I used self-hypnosis with my first baby and loved it, so naturally I
studied the practice again with my second. Although I loved Lauren and my doctor dearly, the downside of moving meant leaving them, and starting all over with a brand new doctor, doula, and midwife.
Once I moved to Michigan I searched and searched and search for a hospital that would take me, but no one would take a 34 week brand new VBAC patient. Since I couldn't go with a hospital on my wish-list, I decided that I would go with the hospital that had sentimental value and I chose the hospital Dave was born at. I may have settled for this hospital in the beginning but in the end I was deeply and utterly grateful that Evelyn was born there. They were beyond wonderful to me. I still get choked up every time I drive by there just thinking about it.
And as it turns out, I secured the hospital in just the nick of time because Evelyn decided that she wanted to
be earth-side two weeks before my due date. At midnight on Saturday January 10th, shortly after leaving Dave's grandmas 85th birthday celebration, I felt my first contraction. It was mild enough to keep me calm, but intense
enough to make it evident that this was it. Wanting to avoid the hospital as
long as possible, I labored at home until Sunday afternoon. Since I was very
aware that these were real contractions and that the baby would be coming soon,
I instinctively began cleaning my house. At 1:00 in the morning I was doing
dishes and my poor husband, unwilling to question my logic, joined in and
helped me clean up other rooms in the house. We finally went to bed although I
only slept for about two hours before the contractions woke me up again. I got
up around 3:00am and moved to the couch. I turned on the TV and began timing my
contractions. Five minutes apart with increasing intensity. I remained calm and
tried to keep myself as relaxed as possible. I started to feel hungry, but
unfortunately I had a very specific craving for eggs, and I knew that nothing
else would satisfy my hunger. And we were out of eggs. I held out
until 6:00am and I couldn’t take it anymore. I woke up Dave and told him
that I was hungry… for eggs… and I needed him to make me some… and we didn’t
have any in the house. (Side note: This was the one and only time during my
pregnancy that I asked him to make an irrational food run for me, and I was in
labor, so I figured I could use my irrational-pregnancy-craving card). So,
being the wonderful man that he is, Dave got out of bed at 6:00am, went to the
store, then came home and made literally the most amazing omelet I have ever eaten.
Contractions continued and Emerson woke up around 8:00am and Dave
made us all waffles, and I ate again. I knew that I wouldn’t be able to eat
once I got to the hospital, and I didn’t know how long I would even have an
appetite so I wanted to eat while I could. We continued on with our low key
morning. Contractions began to get more intense but still bearable. When they
got a little harder I jumped in the bathtub with my toddler, focusing on him
playing while I tried to relax. Finally, around noon the contractions were
getting pretty intense and Dave and I knew that it was time to go. We
called our doula, the midwife, and my mother in law. Dave's mom came over
to watch Emerson and off to the hospital we went. I could barely stand saying
goodbye to my little guy, and cried all the way to the hospital, knowing that
the days of just the two of us had finally ended.
I was
in triage when my water broke. The staff moved me to the labor and delivery
room as quickly as possible. I was fully dilated and it was time to push. My
midwife, who I had only met once, was there and to my surprise she was
wonderful. She was positive and encouraged me to try different positions. The
nurses were wonderful as well. At no point was I ever asked if I wanted an
epidural and no other interventions were suggested. I pushed for two hours with
amazing support from my husband, midwife, and hospital staff when it became
apparent that I was not making progress. With every push the baby’s heart rate
dropped and my midwife became concerned. I could hear in her voice that she did
not want to suggest it, but seeing no other option she suggested that I have a C-section. The very fact that I could see on her face
and hear in her voice that she too was heartbroken over this reality told me
that we had done everything in our power to have the baby naturally, and it
simply was not going to work that way. I asked my midwife and the hospital
staff to leave the room so that I could talk to Dave and our doula alone. I asked
my doula if she believed that we had done everything possible, and that a C-section
was in fact necessary. She agreed. I could see the panic in Dave's face;
I imagine both in remembrance of my traumatic C-section with our first baby,
and in fear of how devastated I would be at having another C-section. I told
him that I really believed that we had done everything possible, and that a C-section
was simply necessary at this point. I felt calm and confident with what was
happening. I felt that my midwife and the hospital staff wanted a natural
delivery just as much as I did. I felt so supported, which is all I could ask
for. So we proceeded to the OR.
Fortunately,
I would be able to stay awake for this C-section. Something I didn’t get to do
when Emerson was born. Dave and I were ecstatic about this. The next thing I knew
the curtain was up and within moments my midwife was standing by our side
holding our beautiful baby girl in front of us. Soon they cleaned her up and
laid her on my chest. She was on my chest for quite some time when we heard the
doctor ask for urology. Not knowing what to think we didn’t pay attention to
this. Then again, and with more urgency in her voice, the doctor asked for the
urologist. Something was wrong. Dave and the baby were sent away and I
was placed under general anesthesia. During the C-section my bladder was cut
and additional surgery had to be done to repair the laceration. Six hours later
I was reunited with my panicked husband and beautiful newborn. At this point I didn’t even care about the
complication, I was just so happy with my birth experience. I was so happy that
I was able to attempt a VBAC and that my team of people was so incredibly
supportive of me. I was so at peace with the C-section, knowing that we had
done everything in our power to deliver my baby naturally. It was never the C-section
that I opposed with Emerson; it was the never knowing that we had tried
everything we could. It was not being confidant that the people helping me were
on the same page as me. It was the feeling that my birth plan was being changed
to fit the needs of the hospital staff. This time things were different.
The
next morning I learned that because of the surgery on my bladder I would have
to wear a catheter for four weeks. I also learned that the medication I was on
to prevent bladder spasms would hinder breastfeeding (something I couldn’t do
with Emerson, and something I wanted to do more than anything in the world). Finally, after meeting
with the doctor to discuss what exactly happened during the C-section, she
delivered news that I would never be prepared to hear, news that still haunts
me to this day. After explaining the complications that occurred, I thought
that she was about to advise me not to attempt another VBAC. Instead, she
told me to never get pregnant again, because it would be too dangerous to carry
out another pregnancy after what I had just been through. My heart sank through
the floor and has not stopped falling since that moment. We weren’t done having
children. I lost my breath and instantly began sobbing. Dave rushed over
to me, crying himself, trying to comfort me. Our doctor is one of those doctors
with underdeveloped people skills. She was so matter-of-fact when she delivered
the news, and it was apparent that she was taken aback by my reaction. Trying
to back pedal she reassured me that nothing was set in stone. I recall her
words in that moment actually were “it’s not like I tied your tubes while I was
in there.” Yeah, let that one sink in for a moment. I digress. So here I was,
so in love with this beautiful, healthy thriving baby in my arms,
simultaneously grieving the fate I had just been delivered. I don’t know that I
will ever be able to describe that feeling. All in all, it was time to go home.
Breastfeeding
While still in the hospital breastfeeding already took a
turn for the worst. Evelyn was hurting me while she was nursing, causing
bruising and chapping, and she was not gaining enough weight – an indicator
that she was not getting enough at the breast. I met with the lactation consultant,
Jeannine, and before we left the hospital she set me up with a Supplemental
Nursing System (SNS). If you know what SNS is or have ever used one – bless
your heart. The whole time I was using the SNS I felt like a failed science
experiment. It's not exactly the beautiful bonding that they sell you in the
breastfeeding pamphlets. The medication I was on for my bladder was causing my
milk ducts to not work properly. At 4 weeks when I had my catheter taken out I
was finally able to get off the medication – relief! Evelyn had a more mature
suck by this point so she wasn’t hurting me as badly. I was on fenugreek and
Reglan to help increase my supply, but I still wasn’t making enough. To ease
some of the stress from all the work I was doing the lactation consultant said
that I could stop doing to SNS and just top Evelyn off after each feeding with a small bottle. Between week 4 and 6 Evelyn was getting fussy while
nursing. Well, more like hysterical. It was really stressful. Every feeding I
was basically wrestling her. We were
both stressed out and definitely not bonding. I had started a new medication
called Donperidom to help increase my supply. Some days I would see an increase
and get excited that we would be soon exclusively breastfeeding, only to pump
again the next day and get almost no milk. At week 6 I went back to the
lactation consultant, praying that Evelyn would get more during our weigh-and-feed
so that I could start exclusively breastfeeding her. I had no such luck. She
still wasn’t getting enough, and I would still need to supplement. The
Domperidom was our last option for increasing my supply. There was no end in
sight for supplementing while feeding from here. Devastated, I went home and
nursed for another week, hoping to see an increase in my supply, again to find fluctuation
with no consistent supply that was ample to exclusively breastfeed her. Between
nursing and supplementing it was taking almost an hour to feed her each time.
This was draining me and taking quality time away from both her and Emerson. I
kept going back and forth with not breastfeeding anymore and I would just sob
thinking of quitting. I think a lot of moms reach this place. I was heartbroken
and didn’t know what to do. I felt the desire to quit, but hated myself for it.
Here is
where a few things became clear to me through this experience. I
hated my body for failing me. I couldn’t do the two things that every woman is
born to do: birth and breastfeed a baby. Of course, as soon as this thought ran
through my mind I reminded myself to be grateful that I had a healthy thriving
baby in my arms; some women will never know what that feels like. And here is
what I think about that thought
process. It is often tempting to compare our situation with the situation of
someone else for the purpose of gaining new perspective. I understand this, and
I do think it can be an effective exercise. However, the danger in doing this
is that we invalidate our own pain. When we invalidate our experiences, we are
hindering the process of grief. By comparing myself to other mothers I am
invalidating the trauma that I experienced. I don’t think this is healthy. I
think as mothers we need validation for our experiences. It is possible to
grieve through the pain of our own experiences, while simultaneously being
aware of our blessings and empathetic towards mothers who have been through
bigger challenges. And the truth is my body hasn’t failed me. While crying to Dave one night over everything I have been through he said to me, “How
can you look at those two beautiful babies and think that your body failed you?
You made them, and they are perfect.” Thank you for the humbling reminder.
The
truth is that pregnancy, birth, breastfeeding and motherhood is a spectrum of
peaks and valleys. We cannot deny the presence of the valleys by choosing to
only see the peaks. The valleys are what help us to grow what makes an
otherwise ordinary scenery into a beautiful masterpiece. My children, my
marriage, and motherhood are my masterpiece. To honor my masterpiece I hereby
give myself, and every other mother, permission to grieve and mourn the
valleys. I want to embrace my humanness
and celebrate the miracles in my life. By giving ourselves permission to
grieve we are not denying the presence of miracles in our lives, we are simply
making the experience of them deeper and more fulfilling.