Tag Archives: birth

Beth’s brilliant birthing

I have been very quiet on the blogging front as my life has been busy lately, with many little dramas. One of the good dramas was the birth of my sister’s second baby girl, just over a week ago. I asked her permission to tell her story from my perspective, so here it is…

It was a Sunday and we had just finished church when my sister called and asked if we wanted to go out to yum cha for lunch. She said she had been having “period-like” pains since about 4am and she wanted to go out to keep herself occupied. She had also been having mild period pain for about a week and a half prior, so she wasn’t sure that this was the real thing. She was 39 weeks and 4 days pregnant. Her first daughter had been born at 39 weeks and 2 days, so she was already feeling “overdue”. She also thought that this baby might be a boy, and boys in our family tend to come late, so she wasn’t too concerned.

So the whole family, parentals included, went out for lunch. If she was having pains, she wasn’t giving anything away. She looked great, if not a bit tired. As we left to go home, I said “see you tonight?” and she said “yeah maybe, I’ll let you know”.

As night descended, I thought maybe the niggles had died down because I hadn’t heard any more from her. But of course, as soon as I hopped into bed at about 10:30pm my phone rang. It was Beth telling me the pains had started becoming stronger at about 8pm and she’d called mum to come and be around to look after soon-to-be big sister. She also called so I could defrost some breast milk I had expressed for my 7 month old. We had joked that I could just bring him along to the birth because he still feeds a lot at night.

So I defrosted some milk and tried to go to sleep, which was impossible as I was buzzing with excitement. I eventually fell asleep but woke every hour thinking, “is my phone working? Did I miss her call?”. But 3 am rolled around and still nothing. My midwife brain couldn’t turn off. I was thinking either the pains have switched off or the baby is posterior and taking it’s time. Then finally the phone rang and it was Ben telling me the pains were now every 2-3 minutes, lasting 20-30 seconds and getting more intense. I had slept in my clothes so I could just jump out the door but then I realised my toddler would be waking in 2 hours and my hubby had to leave for work early on Mondays. I gently woke him and asked him if it was ok to leave him with the kids (this had always been the plan, but we didn’t know the baby would come on a busy work day), and he said he didn’t think he’d be able to get the kids both ready in time to drop them with mum and go to work. So the joke of bringing my baby, became a reality. I bundled the sleeping beauty into the freezing car and scurried over to Beth’s house.

Luckily bub stayed asleep when we got there so I could focus on my sister. It often happens that when something in the birthing environment changes (like a new person coming in, or going to hospital), if the woman is not in rip roaring labour, the contractions slow down for a time before they pick up to what they were previously doing. As I was standing with my sister, her pains were coming every 2-3 minutes but they were barely lasting 10 seconds and she only had to breathe deeply twice and they were finished. I had a quick feel of her belly in the standing position, which is pretty impossible, but to me the baby did feel a little posterior. That’s when I started to worry.

Her first labour had been very straight forward – a few hours of prelabour, then gradually increasing contractions and baby born after about 7 hours. I was afraid that this was going to be a long, drawn out labour, which she would have trouble coping with after such a quick first birth. I didn’t say any of this to her of course, but I think she could read my mind. She kept saying “why are these pains so short? Why is it taking so long? Do you think it’s posterior?”. I tried to reassure her and give non committal answers. But she’s my sister. She could see through my vagueness. Nevertheless, she stayed calm and in the moment. Just focusing on breathing and swaying her baby down.

I tried my best to be her doula, supporting her and Ben and protecting her birth space. After a while I left her and Ben to labour together so I could make some tea and breastfeed. They are such a good team, Beth breathing and resting, Ben timing and making sure the heat pack was always hot and she stayed hydrated. Even though they were both calm and focused, my pesky midwife brain kept sprouting negative thoughts that I tried as hard as I could to ignore. I tried to remember to trust in my sister’s birthing ability. She is a fabulous birther.

At about 5:30am she said she felt like going to the hospital. I was thinking silently “oh no, not yet, you’re not established, we’ll be there for hours and the doctors do their rounds at 8 and they’ll want to intervene and it will start a cascade of events”. But as you know women know their own bodies and know when it’s time. So I trusted her, left mum with the kids and helped pack everything into the car. She told me later that she had known it was not as intense as last time yet, but she didn’t want to get to hospital in the day time and have to have contractions when everyone would be arriving for work and the foyer would be filled with people. Smart girl.

During the drive Beth had a few contractions. They weren’t too intense but they had started lasting 20-30 seconds again. Good, progress. I warned her that, depending on who was working, they might want to examine her to see how dilated she was, as her contractions were still quite mild. She was not very keen at all because she had not needed a vaginal examination fist time round as baby had been born an hour after arriving. Luckily, it was a very good experienced midwife who was working and I told her Beth wasn’t keen on an examination. She was happy to wait and see how things went.

After about half an hour, when Beth had gotten settled in the room, she was rocking and swaying with the contractions and sitting on a fit ball in between. Still the contractions were about 30 seconds long and about 2 minutes apart. Then during a more intense pain, she felt a “pop” and her waters broke. There was only a little trickle, but as soon as I pulled her pants off I saw that the amniotic fluid was meconium stained (which means the baby had done a poo inside). Again immediately my midwife brain turned on and I couldn’t help thinking “oh no, the baby is distressed, something is wrong, she isn’t overdue so why would the baby poo other than being distressed?”. When will I learn to just be patient and trust birthing women and babies? I was also thinking “she’ll have to be continuously monitored and she’ll hate that cos she won’t be able to move around and then we’ll get a bad trace and the doctors will want to intervene some more, and the paeds will have to be present for the birth, and they will take the baby away and not let her have skin to skin and it’s all going to end badly”. All the while these stupid negative thoughts were rolling around my head, I outwardly stayed calm and reassured her by reminding her that my first born had had very thick meconium and he had been fine when he was born.

The CTG machine was put on and the baby’s trace was perfect, reactive and happy. I started to calm down and think more positive thoughts. It’s amazing how, when it’s a family member, you think all the worst case scenario things straight away. Normally a little bit of thin mec doesn’t cause me much concern because it’s so common and babies are usually fine. I was hoping my sister’s mind reading ability was being dampened by her inward focus to get through the pain.

After her water’s broke, it was game on. The contractions started doing what I had expected them to do the whole time. They were strong, lasting 45 seconds and coming every 2 minutes. This was more like it! She was having to breathe very deeply and occasionally let out a roar. I was getting excited. She was getting to the primal stage, where anything goes. She got tired of standing, so she jumped up kneeling on all fours on the bed. During the height of the contractions she was starting to use a high pitched scream. I really wanted to remind her to use low, growling sounds, as high pitched sounds can be restrictive and increase tension and pain. But I was too chicken. I didn’t want to annoy her during this immensely intense stage.

It turns out I didn’t have to worry, because within about 3 contractions she was groaning and grunting like she needed to push. I told her she was doing a great job and to follow her instincts and what her body was telling her to do. She became a bit agitated and was telling me I just had to tell her when she could push. I thought she was probably fully dilated by her behaviour and she also had the dark red line down her bottom crack which is a sign of full dilatation. I said she could try pushing and see if it felt better, just go with the flow.

Next contraction she was determined. She pushed like a champion birther and let out a huge scream at the end which caused the midwife to come running back into the room. I had put gloves on just in case the baby popped out before the midwife came in (I was secretly hoping it would). She was starting to show all the outward signs of immenent birth. I asked Ben if he’d like to help the midwife catch the baby. He was a bit apprehensive but excited. After about another 3-4 pushes the baby was crowning. When a midwife starts to be able to see the head of a baby, we usually make some remark about the amount of hair, to encourage the mum to push. This was no different, but this time the baby did really have a lot of hair!

One more gentle controlled push without a contraction and a gorgeous little face appeared, followed quickly by a teeny tiny body. The midwife and Ben caught the perfect little baby and tears of joy streamed from his face. Beth sat up so she could look through her legs to see the baby. “it’s a girl” she exclaimed, overwhelmed and relieved. I helped hold the beautiful little creature so Beth could roll over onto her bottom and meet and hold her new princess for the first time. She looked so tiny, cradled safely in the arms of her two loving parents. What better place to be? Absolute bliss!

As it turned out the paed only just made it to the birth and left about 2 minutes after, as the baby was crying and obviously thriving. The time was 7:10am. All my worry was unfounded, she had beaten the doctors by almost an hour! She had trusted her body and the process of normal birth. She had once again achieved the amazing miraculous feat of birthing her baby.

I am so proud of my big sister. She is an inspiration to me in so many ways. Especially through her birthing and mothering. She is a brilliant birther, a brilliant mother and a brilliant sister. I love her. And I love her babies.

This one’s for you Bee <3 xox

Offspring – sprung!

I have a few guilty pleasures. One of them is tea with cake. Another is watching tv shows when I should probably be doing the dishes. I particularly enjoy doing these two together.

One show I especially look forward to is ‘Offspring’ on channel 10 on Monday nights at 8:30pm. I love the drama and chaos-filled lives of all the characters. I love the protagonist – a quirky 30-something obstetrician, trying to find love in the midst of working crazy shifts and dealing with her crazy family. The actors and actresses of the show are all really quite talented.

There is one thing that bugs be though. Well it more than bugs me actually. I cannot stand the medicalised portrayal of births on the show. I have only ever seen one show that even nearly came close to the reality of birth, and “Offspring” definitely isn’t it. Seeing the labour and birth scenes through the eyes of a midwife, makes my skin crawl. I’m sure lots of people watch the show and think it looks pretty accurate. But let me tell you right now that it’s not.

For starters, it appears to be set in a public hospital because Nina (the protagonist obstetrician) works a rotating roster (which funnily enough seems to be mostly daytime shifts – 1st mistake) and doesn’t know her “patients” before she meets them in labour. If it was a private hospital, she would be a private obstetrician, who would’ve been caring for the women throughout their pregnancies. But if it’s a public hospital, it doesn’t make sense that she is called in to catch the baby for every birth – 2nd mistake. In reality, midwives catch the vast majority of babies born in public hospitals and doctors are only called in if there is some kind of problem. I also just want to note that I hate that they use the word “patient” for women in labour – they are not sick, they should be called “women” not “patients”.

The next mistake is what actually happens during the birth. All the births I’ve seen on the show are with women lying on their backs, with their feet in stirrups. In reality, most women will choose to give birth in different positions, like on their hands and knees or standing, as lying supine is the most uncomfortable position.

Last week Nina made the call for a woman in labour to have a caesarean after about 10 seconds of the baby’s heart rate dropping. In reality, there a so many actions that can help to resolve this problem prior to operative birth (change positions, hydrate, get her to start pushing if she’s fully dilated – a baby’s head can become compressed in the vagina during contractions when the woman is ready to push and so the heart rate drops). Also last week there was a vaginal breech birth on the show, where Nina and her registrar had their hands all over the baby and were pulling it and twisting it. In reality, vaginal breech in a public hospital is rare and the number one rule is “hands off the breech”- just let them come out with their own natural mechanisms of birth and only intervene if there is no progress.

Ok, so the obstetric component of the show is severely lacking accuracy, but I do still really enjoy the show as a whole. I guess I am just expressing my disappointment and wishing the media would learn to portray beautiful accurate empowering birth stories in tv and movies to stop the fear mongering. Unfortunately people do form a lot of what they know about birth from the media and this leads to an unconscious embedding of mistrust in ones own ability to birth a baby naturally. If only they could learn to portray it truthfully, we midwives might not have to struggle so hard to convince women that they are strong and powerful and very capable of birthing their babies safely and without the help of medical intervention.

But alas, I must go… After all, Offspring has just started! 😉