Birth from the other side.Posted on February 26th, 2011 @ 11:36 pm
For many of you who know me…You’ll know that I have had for the most part, two really wonderful birth experiences. I’m so thankful for them. They are both different from each other but both really special. I do understand though that no two births are the same, and sometimes it’s hard to empathize with what someone else has gone through if you have not experienced it yourself. You may not understand the mother with a negative view of birth if you had a positive experience, and in the same way, a woman who had a difficult birth may roll her eyes every time she hears a mother go on about what a great experience it was. I’m so thankful that yesterday I had my first peek into the window of the wide and varied world of birth experience.
Jessica wandered into our church toddler group shortly after it was re-launched as “Little Angels” She brought her partner with and although she seemed a bit nervous she was incredibly warm and friendly. We could hardly tell but she was just over 20 weeks pregnant with her first baby and full of nerves and excitement about all that was ahead. To make a long story short, after accompanying her to a scan one day, and checking it out with DH, I offered to be her birth partner. She jumped at the offer and from then on I’ve been her very informal “doula” Trying to give her as much information as I could, taking her to other mother’s groups, etc. Thankfully many of the other mothers from the group took an interest in her as well and we even had a little baby shower for her.
She’s a small girl, carrying a small baby, and she’s young…and with a few other less than ideal factors into the mix, she was classified as high risk. I can not tell you the stress that this puts on a young mother having a baby in less than ideal circumstances. After every appointment she seemed to come away confused and stressed. She’s a bright girl but it’s hard to take everything in when you’re pregnant and scared. Anyway we did our best to encourage her and reassure and all of that but it was not easy. When a lot of bad things have happened to someone, it’s almost hard to believe that something is going to go right.
She went into the Hospital on Thursday evening with some bleeding. She was adamant that she wanted to just get checked out and then be on her way..but they did advise she stay the night. Of course this whole process took over three hours. We had to sit in the labour ward in a curtained off cubicle trying not to be nosy listening in to other people’s early labour. The Dr. was tied up in a C-section so that was the main hold up. As she was only just 37 weeks, I was hoping this was just a bit of blip and she could come home the next day, put her feet up and let the baby cook for a few more weeks. Instead, the next morning I got a phone call from her. Her waters had gone in the night and she was 2cm dilated. I panicked. I had plans for the day, and my in laws were under the weather and definitely not up for having two kids abruptly dumped on them for who knows how long. I spoke to my friend Claire who is a “real” Doula, and she told me that I could probably wait to go to the hospital until she was at least 4 cm. Shortly after that I had a phone call to say she was 4 cm. Right. Ok. A few more phone calls and some really complicated plans of where the kids could go…and I was out the door…thankfully my husband decided to come home from work early to ease the chaos with the kids. Iona was fine but I was worried about Judah.
Claire told me to give her lots of apple juice to drink…and to get some baby oil for rubbing her back with. I stocked up on some other essentials at Tesco and then flew to the hospital. When I got there she was in her own room, sitting on the birth ball, starting on the gas and air, and unfortunately hooked up the the monitor. I never had to experience the continuous monitoring in my births. The reason for Jess having it done was because of the baby’s small size. However it is known that this sort of monitoring during labour greatly increases the chances of C-sections, epidurals, and forceps deliveries. It is really difficult to move around when you are hooked up and it’s quite uncomfortable. Also, the transducers keep sliding around and often don’t pick things up accurately. Often people think there is a problem when there isn’t one. Intermittent monitoring is usually all that is needed in a normal delivery, but unfortunately the baby’s size was the issue.
So she was off…she seemed to handle contractions well, but it was not easy! She was exhausted from the start having spent the whole night in the hospital and her waters going in the early hours of the morning. I remembered how it felt watching her…just seeing how she moved (or attempted to move despite wires) was fascinating. Claire told me to make eye contact, and to keep making her drink. So I did…I gave her a drink after every contraction. This meant she needed the toilet a lot, and of course they had to let her use the toilet so every time she needed the toilet was an opportunity to move around, and have a few contractions in an optimal position! about an hour later they examined her, and unfortunately, in three hours time, she had not dilated, and as well, her contractions seemed to ease off and were not very strong. So the drip was recommended. I felt a bit disheartened. You always here about the “cascade of medical interventions” and already we were partway there. I did not want her to have to endure any more interference. However, again, the issue of the baby’s size came up…they could not afford for labour to just slow down…they needed to keep it going. So after awhile the drip arrived, and the midwife could not get it working properly…and the Dr. had to stick her in another place because the current vein the paramedics had used the night before wasn’t working. So more needles…ick. He made a bit of a mess of it as well…and then after that it took ages for the drip machine to get working! Then the shift change happened and the head midwife came in to oversee it. Jess was pretty discouraged at this point..she felt terrible to be only half way there, and felt like there was no end in sight. The contractions were becoming more painful and she was finding it hard to cope. The head midwife was chatting to us and then suddenly noticed on the wall that the tube for the gas and air seemed a bit off, and she went to the wall, twisted it and said “there, that should do it!!” Whoops! I guess the whole time previous, the gas and air had not even been on!!!! Jess was the only one who did not see the humor in this, poor thing. Anyway, I looked her in the eye and said “right the contractions are probably going to get a bit stronger now…but we’re here with you, and we’re going to help you through each one..you can do this”
Several times drugs were offered. At one point the Dr. came in and said “you can have an epidural if you want” I think sometimes when a woman is crying out in pain…and then offered drugs..she feels confused. She doesn’t think she can cope…and people seem to have some sort of solution..but she may be worried about the effects…it can be a really confusing moment. Jess honestly didn’t have any idea…Claire had been giving her ante-natal lessons but as she was still a few weeks away from delivery they hadn’t covered this bit yet and we had not had time to come up with a plan. I did not want to “force” her to do it naturally..but something inside me just knew she could do it…so I said “let’s just take it one contraction at a time Jess…remember, I’m with you for each one!!” I found just making her look at me and hugging her and holding her and breathing right with her…as though I was going through it myself seemed to work. It was intense..i mean, I didn’t know her THAT well…but I just felt I had to get her through it. So we kept it up. I kept giving her water…she kept insisting she could not do it anymore…it continued on and on. Her partner Darren was there. He was obviously supportive and cheering her on…and at times I directed him to massage her back while I made eye contact with her…I really felt I needed to be facing her. Despite the drip and the fetal monitering, we managed to keep her moving. The fact that she needed the toilet was a good thing as it kept her mobile.
Then…around six O’clock…she started to say she needed to push…The midwife would glance up from her notes, and say “ok, hun, just breathe through it” Just before this she said to me “I am going to need that epidural” Often just at the end, the mother really starts to feel like she honestly can not go on. I remember feeling like that. You just think this is the worst possible thing to have ever happened to you and you just want it to be over. The exhaustion is the killer…often more so than than the pain. I noticed that during the first stage of labour, the midwives are kind of casually hovering. They do checks, they offer advice here and there..but for the most part they seem to have their nose in your notes…..they are observing though, but it does seem like they are not that involved. Then suddenly Jess made this sound….and I remembered making it myself..i can’t describe it…but the midwife’s head snapped up and after saying she was not due another examination for an hour, she quickly put her gloves on and said “Ok I’m going to examine you!!” It was a huge relief to see the smile across her face when she announced that Jess was totally dilated!!! We were so excited. I was like “you did it Jess you did it!!!” It was almost like she didn’t realize how great this was… And so the pushing began! The midwife was now fully engaged with the process. On her first push she did extremely well and it was already time to call the second midwife in. It was the head midwife and I noted how even though they must see this so many times, she still had this look of excitement on her face…”the baby is coming”" Jess did great. She asked to change positions as she was on her back and I was glad…I knew she should, but at that point the midwives seemed to have taken over and I felt nervous saying much. So after she changed positions, it was just a few more pushes, and little Jack made his appearance!!! I watched the whole thing!! As the head midwife was up close to Jess helping her push I decided to watch the actual birth…so amazing!!!!!
Jack was put skin to skin and he snuggled right in to his mother’s chest. It was amazing. I wanted him to stay there until he latched on but they had to weigh him because he was very tiny. As he was under 2.5 kilos, he was automatically put on a feeding protocol so she only had about an hour to try and latch him on herself. I wanted to try biological nurturing, but the midwife started trying to latch him on herself as we were now in a race against the clock. Unfortunately he did not latch on in time. However, I now wonder if we’d just left him as he was…he may have…it was so frustrating…but at the same time I know i’m not an expert…and I felt really out of my depth. Thankfully Jess is determined to breastfeed and from what I observed, the staff seem keen to make it happen…it’s just their protocol. I’d be interested in researching this myself to see if the way they handled things was the best thing….
It’s all been such a learning experience for me. I now understand why it’s so important to have women supporting women in labour. I think some men are amazing with their partners…and they certainly should be there if they want to be there…but I know from my own experience when I had my friend Emma with me while I was in labour with Judah…I found her presence extremely comforting…and wish she had stayed the whole time…as great as Jon was…there is just something about being with another woman who knows how you are feeling and who is determined to walk with you in it. Maybe the sound of it does not appeal to everyone…but traditionally birth was women supporting other women…
It’s an intense experience though, and exhausting. I got home around 10:00 at night and I could not fall asleep for hours. Then I woke at four to comfort Judah and again found it hard to get back to sleep. Sure I did not physically go through the labour but I do feel totally drained! It was an absolute privilege to be there though….and I want to do it again!!! Ha ha
Perhaps when the kids are a bit older and/or I have a better support system worked out! I think this experience helped me realize that I really can do this…given some more training and experience…I think I could!! I wasn’t sure before really. So we’ll see.
Well Done Jess and Congrats to her and Darren on their beautiful baby boy Jack xxxxxxx
1 Comment
birth · Breastfeeding · Mothering

