Wednesday, July 2, 2014

The Birth

William Bartholomew James
June 17, 2014
11:29 PM
6 lb, 4 oz
20" long
13.5" head

Early labor started for me at 35.5 weeks. I had gone to work for the last time on May 28, Braxton Hicks starting to get a bit uncomfortable. The next day, they were different. The following night, I felt the baby move down. I had my midwife check me at our home visit and we were all surprised to discover that I was already 2 cm dilated, effacing, and she could feel the baby’s head! My only stress was that I wanted to reach 37 weeks (full-term) so that I wouldn’t have to transfer to a hospital. Every day, my contractions got stronger, I began cramping deeply, I lost my appetite, I got emotional, I slept more. At our baby shower on June 7, I sat through the whole thing timing irregular and very uncomfortable contractions. By the end of 36 weeks, I was breathing through contractions and even unable to walk through some of them. Through 37 weeks, I contracted if I moved too much, if I walked, if I lay down on my left side, if I showered—all the things that should stop false labor. I knew it wasn’t false. It was just a matter of time. I had other symptoms of labor that meant our baby was close to being born. We just weren’t sure if it would be hours, days, or weeks. At 37 weeks, we had a carpenter ant invasion and I spent that week scrubbing with vinegar and peppermint and setting traps until I literally had a breakdown. When I had to move all the baby furniture and tear up our newly arranged nursery corner, I lost it. My body was contracting so hard and emotionally I was drained. I knew I was nearing the end of pregnancy.

June 13, I had time-able, stronger contractions to the point that Joe stayed home a few extra hours before work to make sure I was okay.
June 14, I lost the rest of my mucus plug, but decided to still go to Frederick with Joe where he was helping his parents move. I debated it, wondering if it was a smart choice, but I didn’t want to be away from Joe. All week I had wanted to stay close to home and not be left alone. That day, I just wanted to go somewhere. I went to my friend Jen’s house to visit (one street over from Joe), dealing with contractions and napping like nobody’s business. (I had some awesome naps that week!)
June 15, I suddenly had no contractions; just Braxton Hicks (tummy tightening). I didn’t know if I should enjoy the break or be mad that I was stalling. 
June 16, I woke up to time-able contractions again. My insides were aching so badly after 3 weeks of contractions. I quit timing contractions after that. I was tired of timing irregular contractions.

Tuesday, June 17, I woke up from a decent night’s sleep. I woke up to an earwig under my arm and I freaked out that now earwigs were taking over our apartment instead of carpenter ants. I was contracting strongly, but I put Diatomaceous Earth everywhere in our bedroom. And I mean everywhere. I knew I was being the crazy pregnant lady, but I didn’t care. I wanted every crawling thing to die! I wore myself out by 9 AM and ended up napping for 3 glorious hours. When I woke up, I had no motivation to do much of anything. I didn’t leave the bedroom all day. My insides were so uncomfortable. I was bored with my computer, so I decided to teach myself to knit a baby sweater. I spent the late afternoon and early evening studying yarn gauge, needle sizes, and finally knitting. I decided to make a green sweater, just in case the baby was a boy, even though we were almost completely convinced we were having a baby girl.

My body got tired of sitting on our bed all day, so I brought my big exercise/birth ball into the bedroom and sat on that, continuing to knit. Suddenly, right before 6 PM, I had a huge contraction. It was the same as all the others, but oh, so very different. I jumped off the birth ball and bent over the bed moaning. The intensity was shocking. I hit “start” on my contraction app for the first time in almost 2 days. 19 minutes passed and I had another one. I went to the bathroom and saw a tiny bit of red (just a dot). I called Joe, who was on his way from work. He was on time for once (thank God!). The next contraction was 10 minutes. Then 7. I texted our midwife Doran and told her how intense they were and how they were quickly getting closer together. I went to the bathroom again and there was pink. I was already quietly humming and moaning to get through the contractions. Joe walked in as I was washing my hands in the bathroom and I said to him as he walked by the half-closed door, “Honey, I think this is it.” He was a bit tentative, not wanting to jump too soon. I agreed. I had even texted Doran saying, “I’m not saying this is it…” Joe and I sat on our bed as I went through a few more contractions, and then I suddenly had an even stronger one. I said in the middle of it, “Call Doran.” It was almost 7 PM. Joe had Doran on speakerphone as the contraction faded. She sounded tentative, saying I hadn’t waited even an hour since I last texted before calling, and she needed me to see if I had an hour of contractions 5 minutes apart. At that point, I was at 6.5 minutes apart. But I knew they were intense. She told me she was with another lady who was 1-2 minutes apart and that “it would be nice if you could take turns.” I thought, it figures. Two at once! It seemed like I would be the second one to go. I obeyed her directions to lie down and try to rest. But first, I told Joe I needed a shower. I managed to shower with only two contractions (shaving legs is important when about to give birth, after all!). When I did I lie down, I told Joe to go to the store and get some food on hand for the birth team, get quarters to run laundry after the birth, get ice, and fill the tank in case of transfer. He got as far as the Exxon on the corner for ice and gas when he called me telling me Doran and her student midwife/Doula Jodi were on their way to check up on me. (This was at 8:15.) He told me he was coming straight back. I’m glad he did. Contractions were getting more intense. Doran showed up at 9 PM. They had left the other laboring lady with another midwife just to check up on me. I walked out to the living room trying to listen to her talk to me, but I ended up with a contraction and waddled to the table to lean on it. She said she wanted to check me, but said I might still only be 2 or 3 cm and that I needed to sleep between contractions. Sleep?! I was vocalizing through them already. There was no sleeping through them. I remember thinking from that first big contraction at 6 PM that I hoped I wasn’t sissy for making noises through contractions already. “If they feel like this now and Doran says I could go all night and tomorrow, how am I going to handle this?! This is what I thought the big ones would feel like!” (Thankfully, those were the big ones leading to the HUGE ones. I was well on my way, but I didn’t have proof yet.)

At 9 PM, Doran checked me during three contractions (Ouch! Being on my back that long was good enough for me. I can’t believe some women attempt birthing a baby laid back like that!). I was 6 cm and effaced! But baby was hard to reach. Doran and Jodi decided not to leave after all but to go get something to eat. In the meantime, I was to “go to sleep.” (Ha.) I tried having some wine to relax, but it gave me horrible heartburn. I sipped on a little milk, but not too much because I didn’t want to get nauseated. I don’t think they were gone very long. But at that point, all I was focused on was the intense feeling of a contraction rolling down my belly pushing from the top, sharp cramps deep and low between my hips, and my hips feeling like they were pulling apart slowly. I was a little frantic to grab Joe’s hands and squeeze very hard at that point. He stood by me timing contractions (4 minutes apart, from what I remember) and telling me that I was doing great. “You’re doing great” was what he said at least 50 times. I think he was at a loss as to what to say. I knew what he meant, though. He was there. I wasn’t alone. We would do this together. I barely opened my eyes anymore. I barely got a break between the intensifying contractions. I started humming and moaning louder, unable to stay quiet. My focus was on keeping my jaw unclenched and my forehead from furrowing (signs of tension). My main focus was keeping my voice low and not letting myself yell or get too high-pitched (another sign of tension).

Doran and Jodi had left me and Joe to labor alone, which felt so normal. We were in our own bedroom, I was in our bed on my left side, he was standing beside me. He would quote some of the affirmation cards and scriptures he knew I had wanted at the birth, which was wonderful since I was past the point of wanting to read anything for myself. I started losing track of time as contractions came in waves. Up until this point, contractions had been a sharp sort of pain dead-center on my lower abdomen and out into my hips, but I didn’t feel anything down low on my cervix like I had earlier in the week. But then I started feeling something lower. The pain was intensifying. And yes, it was pain. Anyone who says labor isn’t painful didn’t have my labor. There was pain, aching, pressure, pulling. I was getting louder with my vocalization. I couldn’t help myself.

Doran walked in and said I needed to get off the bed soon to get a pad down because my water was going to break at any time. That was the best news I had heard all evening. At 6 cm, she had said I could continue that way all night. My thought was desperate when I heard that, because the pain was getting so strong already. To hear my water was going to break meant I was moving closer to the end already! I got up to go the bathroom with Joe’s help between contractions. I remember feeling like I needed to move quickly because I didn’t have much time between them anymore. They were strong, and I was getting nauseated at the peak of each one up until getting out of bed. In the bathroom, I ended up with a MUCH stronger contraction that made me desperate feeling. I remember having my eyes closed, sweat pouring down my face, wildly grasping at anything hoping to find something to grip. The contraction bore down and nausea hit so hard as I felt some water trickle out of me. I know I gasped, “I think my water’s breaking…” and suddenly my body bore down and I yelled, “I’m going to throw up!” I remember Joe grabbing a trash can as I dry heaved violently in the midst of the contraction and suddenly, we heard a loud “POP!” as my water broke in the toilet and gushed loudly. In that instant, the big contraction I was having kicked into a HUGE contraction and I yelled. Doran told me I needed to get off the toilet because we didn’t want the baby in the toilet. Again, I felt a sense of relief to know that Doran thought the baby was coming soon. I didn’t know how anyone could do that kind of work with that strong of pain for much longer. Jodi was putting cold washcloths on my head. I remember mumbling that I was so hot. The cold washcloths helped me focus on something other than the pain. This was somewhere around 11 PM.

I waddled to the bedroom as quickly as I could. My thoughts were on crossing the bit of cream carpet to the shower curtain Joe had put down without getting anything on it. It's funny how normal thoughts popped into my head even in the midst of such overwhelming sensations! I got to the edge of the bed when the next contraction hit, and from that moment on, my body took over. I bent over the bed like I had for that first contraction at 6 PM, but this time, my body bore down with a strength that shocked me. I squatted into it and screamed in a low growl that took me by surprise. I had expected to keep my tone in a low hum, but the sounds I was making were so huge and fierce. With every contraction, I squatted down into them a bit more, pushing. Doran was behind me telling me to bear down. I remember thinking that would hurt me and my body was already feeling like it was tearing apart. If I had been alone, I wouldn’t have pushed. It felt like too much. But she kept saying to bear down, then to “release that one” as the contraction let up. At this point, contractions didn’t quit. I was still in pain between them, but at least my body wasn’t bearing down. Since transition in the bathroom, I had been shaking. My legs started giving out as I squatted deeper, feeling something moving down through me. I knew it was our baby.

Doran told me I could get on the bed on my back, propped up, to give myself some relief. I tried it, grabbing my legs behind my knees to bear down. I only lasted that way for about two contractions, because the baby’s heartbeat dropped from its normal 120 to 100. It was the only moment of true concern in the delivery, and it didn’t last very long. I was told to get out of the bed (the only time Doran told me what to do without asking what I wanted). I stood by the bed again. She said to not vocalize so much and bear down as hard as I could. I was getting three very big pushes per contraction. I squatted as deeply as I could, allowing the contractions to get as big as they wanted to be. I tried not to vocalize, but I could hear myself getting up into a scream. Jodi kept reminding me to stay low. I would immediately drop my tone and heard this unworldly growl resonating through me. My throat was going hoarse. I remember Jodi saying, “That’s it, mama bear” as I growled the loudest I’ve ever heard myself in my life. The baby's heartbeat immediately went back up. Pressure was off. 

I was wearing out, so they suggested I get on my knees in the bed and bend over a small birth ball between contractions. I got up on the bed as quickly as I could, knowing I only had a minute to go before the next one. Joe was giving me sips of ice water. I leaned on the ball as relaxed as I could get between the bearing down. I sat up almost vertically with every painful contraction. I said, “I feel the baby. It’s so low…” feeling somewhat incoherent. I remember screaming some, desperately trying to keep my face relaxed and voice low. Doran asked if it was burning. I said yes, slightly. The next contraction, it burned so strongly! I yelled, “It burns!” and I knew our baby was crowning. Joe was exclaiming behind me, “I see hair, baby! The baby has hair like you did!” Again, I was so encouraged that it was almost over. Suddenly, in those last couple of contractions, I felt in control. Doran said to breathe through them and not push. I needed to stretch and not force it. I held back, even as my body pushed. My mental focus was thinking I needed to hold the crowning, knowing it may happen a few times before the head would be born, then I would need to birth the shoulders and then we would have our baby. Doran said to reach down and feel, so I did. I felt something bulging, but to be honest, I couldn’t get that it was a baby’s head. I had pushed the birth ball off of the bed and was on my hands and knees. I heard them say I could get on my back now if I wanted, but I knew I couldn’t and wouldn’t move. I was ready for those last few contractions, ready for it to last a little while longer. But suddenly, as I breathed feeling the intensely painful burning, I heard Joe yell, “The baby’s out!” and I looked down to see our baby as a pile of slippery limbs lying on the bed between my legs and heard a huge gush of water. It was all in a split second as Doran swept the baby off the bed as quickly as it happened and handed him to me. I had a little trouble getting a grip on his slippery body. I saw between his legs and remembered to check. I exclaimed, “It’s a BOY!” and heard Joe behind me exclaim unbelievingly, “It’s a BOY?!” We had thought for sure we were having a girl, as did most everyone we know. We were shocked! I handed him right back to Doran since he had a very short umbilical cord and I couldn’t turn over in the bed while holding him. I don’t even remember lying down. All I remember is Joe putting our son on my stomach, skin-to-skin, a green towel draped over his soaking wet little body as he cried big, hearty cries. My shirt was soaked from him. I could only really see the top of his head, his dark hair matted and wet and filled with vernix. He was 38 weeks and didn’t have any vernix anywhere else on him. I remember he had some blood on his side, but that was it. He calmed down very quickly. Doran attended to me. With another contraction and an uncomfortable push, the placenta was out. The umbilical cord stopped pulsing within minutes. Joe cut it. My sister-in-law Sarah had walked in right before the placenta was out, missing the birth by mere minutes. We had texted her too late. Doran discovered that my bleeding wasn’t internal, praise God, but some major tearing. She worked on me as Jodi checked our baby boy as he lay on my now empty belly. I was wiping sweat from my face, looking at Joe’s pictures of our baby since I couldn’t see his face from my angle. He and Sarah took the baby as Doran got me cleaned up and stitched up and massaged my uterus to get it to contract and stop bleeding (some of my least favorite moments of the birth, but vital). They gave me instructions on caring for the baby and myself, Bartholomew was weighed and measured, Sarah prepared food for me, and then Doran and Jodi went back to the other laboring lady. Yes, they had left one labor to attend me, I gave birth, and then they went back to the other one! All the while, I never felt like they rushed me. Talk about a wonderful birth team! They are such strong ladies. 

As Jodi had been measuring Tolly, I looked at the clock and realized it was only midnight. I had been thinking early in labor, “This baby will be a June 18th baby, I suppose.” I asked when he was born and Jodi said it was at 11:29 PM. I couldn’t believe it! A June 17th baby. I calculated the times and realized my labor had only been 5.5 hours! Doran and Jodi kept saying I had rocked the birth, how our baby just really wanted in the world, and how amazing the birth was for a first-time mother. All I could think of was how thankful I was that it wasn’t any longer. Perhaps it was God’s grace, but I don’t know if I could have handled it much longer or any stalling. It was perfect. My brain was still in shock from the pain, but I was so happy. I had done it! I had given birth naturally, I had an incredibly short labor, I hadn’t felt scared, and our baby was healthy and beautiful. As overwhelming as the experience was, I never felt the feeling that there was something wrong. I was overcome with the intensity, shocked at my body’s ability to take over like it did. If someone ever says that labor isn’t painful again, that’s just not true (in my experience). It was every bit as painful and overcoming as I had imagined and somehow beyond anything I could have imagined. My brain has already forgotten the sensation to some extent only two weeks later, and yet, as I stood beside the bed holding my baby as they changed the sheets, I remember thinking, “There is no way on earth I’m forgetting that. And there’s no way I want to do that again any time soon. I can’t think about that.” I did not enjoy labor. But I did the work I needed to do and I’m really proud that I did it. With three weeks of pre and early labor and 5.5 hours of active labor, my body did it. Mentally, I endured it. Emotionally, I kept steady. The most “out of control” I felt was transition, in the bathroom, wildly reaching for anyone or anything to grip onto as I yelled, contracting, dry-heaving AND water breaking and bearing down at once (just typing that makes me cringe!). I let my body push, I bore down as hard as I could, I squatted as deeply as I could. I knew that if I gave in, I would be done so much sooner. If I clenched and fought it, I would get stuck in that cycle of overwhelming pain.

During labor and after, my midwife and her assistant kept telling me I was “rocking it,” and I didn’t think they were just being nice. I felt like I was doing it right. I wasn’t afraid. I didn’t have time to overthink it. I think that was God’s grace on me too. I get in my head so much on a daily basis, but my labor was so intense and fast, I had to give into that “primal instinct” and just do it. I didn’t have an option. 

Afterward, my favorite moments were holding our son and nursing him for the first time, seeing the utter joy on my husband’s face as he fell in love with his son. Joe said he wanted to go for a run, he had so much adrenaline (but of course, he didn’t leave me). We tried to sleep, but we were awake until 5 AM basking in the joy of holding our baby, in total awe. It was as precious a time as our first day married (could that only have been last autumn?). There I was with both of my boys. It was beautiful.

(I will note, as awesome as my birth was, I feel like I “paid for it” afterward during recovery. Due to the intensity and speed, plus it being my first birth, I did tear considerably and did not heal properly at first. I was in horrible pain. It was worse than labor and delivery to deal with, and scary, because unlike labor, this wasn’t normal or supposed to happen quite like that. Tearing happens, yes. Healing is always needed, yes. But excruciating pain—being unable to lie on my side for almost a week, half sitting/half reclining uncomfortably in bed for days on end, unable to get in and out of bed without my husband lifting me, unable to shower or go to the bathroom by myself, taking 20-30 minutes just to go to the bathroom because of the pain, shuffling with my knees together when I did move, cringing to think of sitting down, staring at the couch and feeling like it was the most daunting thing in the world, scared that I wouldn’t heal properly, seeing concern on my midwife’s face, bawling my eyes out like an inconsolable toddler for two days. . . I was not prepared for those things. But all is well now as I've improved immensely, thanks to instructions from my midwife and a lot of prayer from everyone around me.)

This stuff isn’t for the faint of heart. Perhaps a quick delivery meant a painful recovery. Perhaps it has just been coincidence. But the weeks of recovery have been a fog. I had a hard time thinking over the birth and even had days of simply surviving that I didn’t even truly enjoy my new baby. But as I’ve rounded the corner, my body healing—changed forever by this experience, I’m reflecting on the birth of our Bartholomew and feel such accomplishment. I would not trade my baby boy for anything. I am so glad I did not know what I was in for, but to think of my world without him now is impossible. It’s hard to imagine being pregnant even though I was expecting for so long; impossible to imagine what life was before. It’s as if he has always been here; my heart saying, “Of course, this is how it was meant to be all along. I see that now.” There will never be a moment in my life, Lord-willing, where there is no Tolly. Just as much as my body carries scars and changes forever, my heart is marked. I love my son. I love my husband. I love our family.



















Monday, June 16, 2014

38 Weeks

How far along: 38 weeks
Gender: Surprise!
Weight gain: 49 lbs
Maternity clothes: Jersey maxi skirts, stretchy jersey pants, no pants, tank tops. 
Stretch marks: Spreading and itchy. Heat doesn't mix well with stretching skin.
Belly button in or out: Half out, dipped around it
Sleep: A few really bad nights, then a few amazing nights, AND long naps. I forget where I am!
Best moment this week: The ant infestation eliminated/reduced. Caulked cracks and Diatomaceous Earth, do your job!
Worst moment this week: Freaking out for two days+ over swarms of carpenter ants, chasing ants, using vinegar to erase trails, smashing scouts, finding them behind our new baby things, in the toilet, EVERYWHERE. I had 2 days of breakdowns. I seriously had to try to calm down. Horrible. *Shudders* 
Miss anything: My husband. This week I had quite a few days of really not wanting to be left alone. I felt very needy.
Movement: Some very sharp movements between contractions, which I haven't felt in weeks. Baby has been doing more slow, gentle moves until then.
Cravings: I've lost my appetite most of the time now.
Queasy or sick: Some queasiness, "off" feeling, especially when paired with cramps and contractions.
Looking forward to: Birthing this baby and getting my mind off of contractions.
Contractions: Building every day, wrapping around my hips, pushing my hips out, in my lower back more, aching cramps, tummy pushing baby down onto my cervix. At 37 weeks, 3 days I woke up to 3 hours of achy contractions 7.5 minutes apart. At 37/5 I almost had nothing and very little baby movement. 37/6 I woke up from 3 AM - 5 AM with achy, hip-pressing contractions 6.5 minutes apart.
Labor Signs: Lost at least part of my mucus plug (37/4). 


Sunday, June 15, 2014

37 Weeks

How far along: 37 weeks
Gender: Surprise
Weight gain: 49 lbs
Maternity clothes: Undies and a t-shirt. I'm hot all the time!!!
Stretch marks: Going above my belly button now. Streeeeetch.
Belly button in or out: More out, but my belly dips around it. Turns out, baby is LOT, so it's in a C-shape around my belly button right now. 
Sleep: Some nights are restless, then I make up for it with a very long night and naps.
Best moment this week: Making it to our baby shower! It was adorable. The theme was "Children's Literature." 
Worst moment this week: Some people calling my contractions "tummy tightenings" as if I'm thinking about them too much. I KNOW I'm in early labor. It's just taking its time. Sigh.
Miss anything: Not contracting.
Movement: In between contractions, wiggle-wiggle.
Cravings: Ice.
Queasy or sick: A couple headaches and slight queasiness along with contractions.
Looking forward to: Getting this show on the road!





Isaac's incredible decorations!


Nursery corner complete!