Wednesday, January 5, 2011

My Birth Story, Told For the First Time After Seven Years

Tonight, I feel ready to open up a pocket of pain that has been buried and almost untouched in me for 7 years. I don't understand why it hurts like it does or why similar experiences don't scar other people as they have scarred me, but I am ready to write it finally. I sit here, crying, trying to justify the public nature of this confession, and all I can say is that it feels right. Maybe I can never be free of this until I pour it all out, shine a bright light on it, and take away its power by talking about it and making it commonplace to think of it.

I'm talking about Livy's birth story, my birth story, and that really is the start of it. In my mind, her birth was not just the time when she emerged into the world; it was the time when I would emerge into a new role as a mother and a grown up woman. It was a rite of passage, not just a medical event, and when it went wrong, somehow I didn't get what I needed, though Livy ended up okay.

It has been so long that I forgotten a lot of the details. The things I remember are probably the most important for the telling anyway.

I had planned a homebirth. This was the easiest choice in the world. I was working as an apprentice midwife when I got pregnant, and though I stopped attending births, I was really passionate and committed to the idea that homebirth was best for uncomplicated pregnancies. I still am.

My pregnancy was really uncomplicated. In fact, I have never felt better in my life. My blood pressure was perfect; I slept 10 hours every night until Livy was born; and I didn't have aches and pains or morning-sickness. The only thing was, Livy was really late. When we got to 43 weeks, the midwives started to worry a little. I know that the chances for complications rises at 42 weeks, and I can understand their concern.

They offered me a chance to go to the doctor and get a stress test ultrasound to see that everything was alright and the placenta was still functioning well. The other option was to use herbs (blue and black cohosh) and castor oil to try to induce labor. I should have done the stress test. Once Livy was born, we found that her placenta and the amount of vernix on her skin showed that she was devoloped like a 40 week old baby. Why didn't I do the stress test? I was just so sick of being 43 weeks pregnant in GA in September. I should have done the stress test.

Instead, I took the herbs (but not the castor oil) and walked and walked and walked. I walked too much. Even though I knew intellectually how much energy it takes to birth a baby, I was so focused on getting her to come, I didn't rest enough.

The herbs and walking worked, and I went into labor. The midwives came when the contractions got closer, and labor was good. Truly, it was. It didn't hurt too much, and I was in that fog where I didn't feel the passage of time. I remember this part of the birth as a happy, difficult, and right kind of time.

After about 30 ours, my labor kind of halted. I got in the fishy pool and soaked in the warm water, and the contractions started to come less frequently. Why didn't I let it be? Why didn't I just relax in the pool and remember that babies are born when they are born? But I didn't. The midwives got me walking again, and I just wanted Livy to get born. I was sick of waiting. Once it started, I just wanted it to finish and to have my baby with me.

By 36 hours, I was worn out. I wasn't able to eat or lie down between contractions. I could only walk and walk and walk and kneel and squat and walk and walk and walk. I was so tired, and I felt harried by the contractions like I couldn't find a place or a time to sit and rest. I wondered if I was in transition, and that gave me hope. I wasn't in transition I learned later.

Finally, when I was too tired to keep going and I just stood in the shower and cried, the midwives suggested we transport to the hospital. They assured me that it wasn't an emergency, but they thought that I needed an epidural and a nap and that they baby would come after that.

I was devastated and terribly afraid. But I was SO tired and so weak from lack of food. We drove to the hospital in our own car, and my ex made calls to work to say he would be out a few days while on the inside I was breaking apart. I remember that when a contraction hit, I wanted the car to explode so that I could only be free of it. I remember eating pineapple, and I have hated it ever since. It tastes like disappointment and misery.

At the hospital, they wanted me to fill out forms and to sign things, and I wanted to scream and rip the throats out of everyone. How could they talk to me like this was a normal thing, when I was seeing all my plans and dreams from Livy's birth shattering in front of me?

The doctor gave me a rough vaginal exam that I was not ready for and joked that "this one may have to come out of the sunroof." He knew I was a homebirth mom; he worked with homebirth moms. There was no excuse for his levity. If I saw him now and recognized him, I would gladly hit him in the face. I would be happy to watch his nose bleed and know that I had paid him back in some small way for his joke when I was terrified and vulnerable. Nothing so invasive or insensitive has ever been said to me in my whole life.

The midwives came with me to the hospital, and because of them, I didn't have a c-section. They talked with the doctor and encouraged him to try an epidural and pitocin first. After I got the epidural, I slept for 4 hours, the pitocin working on me the whole time. After that my labor really picked up.

I don't remember much from the hospital. I remember that the doctor put his hand on my perineum while I was pushing to prevent tearing, and I wasn't sure if his hand was in my vagina, my anus, or outside of me. It was like I was right side out and inside out at once, and I couldn't tell what was inside and what was outside. I saw Livy's dark hair in the mirror when she crowned, and I cried.

When she was born, there was meconium on her. It was clearly old meconium, even I could see that, but they insisted that there was danger from aspiration. They suctioned her throat and wiped her off before I could hold her. I was rabid with desire to hold her and fear for what was happening to her. The 6 feet between us was like a mile of pain.

She didn't have to be without us, though. She stayed in the same room, and David and I never had to take our eyes off of her. I delivered the placenta, while they washed her. I insisted they not soap her, and though the nurse clearly thought I was an idiot, they didn't. I had signed waivers refusing vaccines and eye drops and Vit K, and I had to say it again, but she didn't get any of those things.

They wouldn't let me hold the placenta. It may seem strange, but I am crying harder as I write that. What right had they to deny me? It was mine. I insisted that they let me look at it, and they did. It was red and healthy and completely free of calcifications. It was a young placenta. All this had been for nothing. She was not overdue; she took a long time to cook. I didn't get to take it home. I didn't get to plant it in my garden or trace with my hands the blood vessels that had connected us for so long.

The hospital staff woke us up all the time. We would get to sleep, and they would wake us to take my blood pressure. They would move her to a crib, away from my arms. When David fell asleep with her on his chest, they woke them and moved her. We couldn't leave the hospital for two days because I hadn't had a strep test. I guess they were afraid if she got strep, I was too stupid to feel a fever or look for the other signs.

They gave us formula and formula coupons, but I threw them all in the trash. Lactation consultants came, and Livy latched on. We would not understand the breastfeeding problems that would come for a week or two still. I often wonder (and so did the lactation consultants) whether it was the suctioning that made her refuse to take the nipple far into her mouth for so long.

I feel guilty. It's my fault that the birth went this way. I knew better; I knew that babies come very late sometimes and that I should let things take their course. I wasn't patient and I didn't stand up for myself and for Livy and that's why I still hurt after all these years.

I feel guilty for feeling guilty. My friend who had an emergency c-section and whose baby had a NICU stay doesn't feel like this. Other moms have babies that die. Some women can't get pregnant at all or have babies with major health problems. What right do I have to ache and to rip apart when Livy is fine and we are happy together?

How can I ever let this go? I will never have another baby, never have another birth. How can I accept that this one, this horrible twisting of my hopes, is the one birth I will have in my entire life. How can I forgive myself for causing all this pain, for (maybe) causing the breastfeeding troubles that blackened our first 14 months together, for causing, or at least contributing to, the miserable post-partum depression that I lived through? Will I ever read Mothering Magazine again without pulling back from my own thoughts in fear? How can I make this dragging regret a part of the past instead of a part of the present?

I want to share something with you, in the spirit of full disclosure.



This picture symbolizes for me how sterile and cold her birth was. She is lying on a table, not held, not warm, just lying there. She is being touched, not by human skin, but by latex gloves, and they are worn by a stranger. It makes me feel nauseated to look at it. She should have been on my chest, still bloody but warm and loved. More desired than clean. Resting her head on my breast, smelling colostrum. My hands should have been on her, not empty, not balled up with the fingernails digging into the palms with the restraint it took not to rip her from these gloved hands. This picture should have been different.

11 comments:

Miranda Barzey said...

I can't imagine the rush of emotions pregnancy, labor, and birth can bring. But I know that you are terribly passionate about this, and it must have been hard to not have the birth you wanted. It's incredibly brave and hard to share this story publicly. And now I'm dying to give you a hug, especially after you've given me so many.

I hope this helps you find some peace.

paintchip said...

Sending hugs your way. I agree with Miranda and hope that writing your story and sharing it brings you some peace. Thank you for sharing. This is something that will stick with me for a long, long time.

Lady Baker said...

Warm hugs. The birth experience is so precious and the grieving for a lost hope understandable. I still draw on the strength from my natural childbirth experience and I know how upset I would have been to lose it. However you evaluate your responsibility, I think your parenting actions show that you're doing an awesome job addressing any, even slight, evasions that may have been present. Only you know, but I know that guilt I've felt for slight evasions in the past has resolved when I look at how well I've addressed the moral error I made by self improvement.

NavelgazingMidwife said...

I'm so sorry your birth didn't go the way you wanted it to. I'm sure you've heard a thousand times already, "But you and the baby are fine; what are you so upset about?" and am sure that grates on your nerves terribly.

So, I ask, "What is it you *do* want in sharing the story with virtual strangers? Are you needing/wanting validation? Someone to convince you it wasn't as bad as you thought it was? Someone to explain the nuances you don't seem to have put to rest yet?

I'm sure you've replayed everything with your midwives, right? (The zillion times in your own head don't typically forward the healing process, but tend to keep mom stagnant.) How many times *have* you shared the story? In person or on-line? Do you feel patronized or validated when you share it?

(Another question I'm sure you've been asked a million times,) Have you gone to therapy about this? The healing process, while not linear, definitely moves towards acceptance and resolution. If you aren't there yet at 7 years postpartum, the record might be stuck somewhere, skipping in the same place over and over... and perhaps all you need is a nickle on the record player's arm to nudge you into the next groove of healing.

I won't presume to know anything beyond what I've read here, but did want to ask what comfort did you think you'd feel in sharing the story online? Perhaps having others share the load of pain? I'm glad to carry some of that for you.

Heal well, dear woman.

Shannon said...

I just wanted to say that my heart aches for you when I read your description of that photo. I can feel the hurt that you are feeling and were feeling for your babe. That always gets me when people think that women want homebirths or natural births for themselves or to be martyrs. I would think the vast majority do it for the baby...to give them the most loving and respectful entrance into the world possible. I can feel your hurt at you feeling that you did not provide that for your child.
I have nothing to offer but that you are heard and validated. I hope you find healing for yourself.

Angelo (This Week in Paleo) said...

Wow. This is the first article I've ever read on your blog, and you've got my eyes watering up like a little kid lost in the mall.

It's wonderful to read something so genuine.

My wife and I are expecting, and starting to struggle a bit in choosing a home birth versus hospital. Thanks so much for sharing this.

Heidi said...

I'm sorry for your pain. You are obviously a wonderfully compassionate and caring mother that you feel so deeply about this. I'm glad you shared, I hope it brings you healing and it may help someone else. I hope you are able to forgive yourself. You seem to be judging your actions so harshly, when I see that you were doing what you thought was best at the time. I think you sound like you did amazing with a difficult situation.

Anonymous said...

I suppose it would almost have been "easier" if things had been "wrong" somehow... the fact that she is so well is what makes it so hard. I watched my baby in an incuabtor in NICU for 24 hours, big and strong and healthy and I knew she was fine and I HATED the sterility of it and I wanted to hold her to me, her sin on mine, more than I wanted to breathe.... If she had been really sick, if that incubator had been the "best place".... I could have reconciled it I think. It would still have been hard, but I could reconcile it. That she was well, and still in that plastic box.... Yuk. And overlaying that, guilt. Guilt because I sat right alongside mothers whose little babies were in their incubators for WEEKS or months, who were fighting for their lives... and they were all so brave. What right did I have to be crying and torn?? So, please believe me when I say I can feel your pain. I really can. I feel it and I know how horrible it is and I don't know how to make it go away. It gives you a powerful weapon in your arsenal tho; you are uniquely placed to empower women and enlighten them and ensure that they have a better chance of avoiding this pain. You wear it on your sleeve so they don't have to and many, many motherbabies will thank you for it.

Elisheva Hannah Levin said...

My daughter's birth happened at home, a hard and fast birth--12 hours from the first contractions to birth--and she was big and given the lack of vernix and the calcifications in the placenta, a little late.

But my second child, my son and I had a birth that was very different, and my feelings about it--even 17 years later--are very similar to yours. We were planning a home birth, but at the home visit appointment, about a month prior to the due date, I found protein in my urine, and then my blood pressure was elevated. Everything changed very quickly as I was identified to have moderate pre-eclampsia. The last weeks of the pregnancy were difficult, and the plans for a home birth were changed to plans for a hospital birth. I ended up being induced, and the birth was a rushed and very painful affair--4 hours from the first consistent contractions to birth. The speed of the labor meant that my cervix had a lip that would not dialate, and also my boy did not have time to turn properly on the spines. My midwives did come to the hospital, and they ran some interference with the staff, but when the nursing staff started yelling at me NOT to push, they told me bluntly that I would likely end up with a Ceasarian if I didn't accept an epidural.
Then, when the shoulder didn't turn fast enough, they used a vacuum extractor to pull him out. Although he was was healthy, and pinked up really fast, I felt violated by the whole experience. And yet, like you, I felt odd about having such feelings-shouldn't I just be glad to have a healthy baby?

I think part of the pain for me is that although I knew that the hospital birth and some of the interventions were necessary, I realized that the staff was unnecessarily rough with me, and many of the interventions--such as the vacuum extractor--were not. They paid more attention to the monitor than to me and the baby inside, and they yelled and ordered me about like I was an imbecile child.

It was an unnecessarily violent and mean-spirited experience.
I never did have another child, and I was somewhat relieved when I could not get pregnant with my present husband, because I was certain I would have to go through such an experience again.

I don't know if my comments are helpful--each person and each experience is different; but I hope that knowing that others out there have similar feelings will help.

Elisheva Hannah Levin said...
This comment has been removed by the author.
Possum said...

Kelly,
I'm so glad you have written this down and shared it. One thing we talk about pretty frequently at Birth Circle is the difference between taking responsibility for and feeling guilty over our choices. It is a real shame that the people who should support mothers at one our most vulnerable points are often the ones that facilitate our poor birth choices.
i wish you continued healing.
Melinda