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Posts Tagged ‘normal birth’

Beth’s brilliant birthing

Wednesday, September 7th, 2011

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

A surprise package

Thursday, August 11th, 2011

A lovely birth story from a friend of mine…

It was our one year wedding anniversary when we decided to do a pregnancy test just on a whim and discovered that we were accidentally preggers. We had been discussing it, but were planning on starting a family after I had finished my teaching qualifications and had had a chance to work for a little bit. We calculated the due date to be roughly one month after I was due to finish my course. There were some jokes about planning it that way so I wouldn’t have to get a job.

My pregnancy was relatively standard. I had all day sickness for about 4 months, and bad sciatica and carpel tunnel syndrome in the second trimester. At 28 weeks, I developed gestational diabetes, which was really upsetting as I suddenly felt like my pregnancy was being taken out of my hands, and becoming very clinical. I had to see doctors all the time, and every decision made was because of the diabetes, as opposed to my wishes. There was the threat of having a big baby, increased chance of intervention and consequential caesarian, as well as health risks to me. I worked really hard and got it under control with diet, and as a third trimester scan showed, the baby was perfectly in the mid range for weight/measurements, so I was happy.

After I finished my last exam, I really focused on getting myself ready for labour. My husband and I started taking long walks, I read loads of books ( particularly helpful was “Birth Skills” by JuJu Sundin and Sarah Murdoch) and watched a few dvds of different types of births. I wrote a birth plan, and started taking raspberry leaf tea capsules to get my body and mind ready for the process of birth.

The plan was to try all the natural stuff first, until it didn’t work any more, and then progress to gas, and epidural as a last resort if needed. I had heard loads of stories about first babies taking ages to be born, so I had a labour bag packed that had EVERYTHING in it that’s suggested to help in labour – and ultimately, we didn’t use any of it!

2 weeks before my due date, after a long walk on the beach with a friend through soft sand, I woke at about 4.30am with what felt like bad period pain.. I started timing, but it was really irregular and eventually went away, so I went about my normal day – even planning a big dinner party for the next night. In the afternoon, the pains came back, but were an hour apart, so my husband and I went for a big walk, and made sure we were prepared to go to the hospital if we needed. We slept early that night, waking up every hour to walk through a contraction and time it. By 3am they were 15 mins apart, but increasing in intensity, so we decided to leave for the hospital.

I had hired a TENS machine, which had arrived in the post that morning, and by the time we put the electric pads on and got into the car, the contractions were 5 mins apart, but the TENS really helped me to take the edge off, so it wasn’t too bad.

At the hospital, I was 3 cm dilated, but the heart rate monitor showed that the baby was asleep, so I got to guzzle some apple juice to wake it up (and it was divine because I hadn’t had juice in 3 months because of the diabetes!!). Once we moved into a birthing room, I spent an hour or so sitting in a chair, breathing slowly and concentrating on relaxing through each contraction using the TENS machine, and as it got more intense, my husband and I stomped around the room, using the TENS machine. What I loved about the TENS was that I got to control when and how it was used.

We had some spectacular midwives, who were super supportive, especially when the doctors came in wanting to speed things up with drugs. The midwives were in my corner and managed to get the doctors to agree to just manually breaking my waters, without giving me drugs to speed up contractions. When I got up to use the bathroom, my mucus plug dislodged (which was pretty gross – I had forgotten about that happening too so it was a surprise), and when they checked, I had dilated to 7 cms in 3 hrs, which was great. My amniotic sac was broken with the crochet hook, which didn’t hurt at all.

Contractions were steady and consistent, and the TENS machine paired with stomping around the room and swaying hips, was still effective, so we didn’t see the need to try anything else. Slowly, my blood pressure was increasing, which was causing concern for the doctors, and a cannula was put in my hand, just in case they needed to give me drugs.

I was starting to get very uncomfortable, and felt like there was a lot of pressure on my sacrum. I felt like my hips were really loose and were going to fall apart. By this time, my husband was in charge of pressing the button on the TENS machine, and putting pressure on my hips from each side, because I was concentrating on breathing and relaxing my body. The midwives suggested I use the bathroom to make space for the baby’s head to descend, but when I stood up, all I could think about was pushing. This was probably the worst part of the whole labour, because I really really wanted to push, but I knew I couldn’t until I was completely dilated, and I was starting to have contractions back to back. I needed to lay on the bed to have my cervix checked, and it took me about 10 mins to get up on the bed, because I knew sitting was going to be very uncomfortable and I didn’t want to do it. Eventually I made it up there, and was announced to be fully dilated. I was allowed to push!

I think it took me about 5 contractions to fully understand what I was supposed to do, despite the midwives telling me I could push and push hard, multiple times. I was still trying to relax through each contraction. By this time, I was sitting up on the bed, with my eyes closed. It probably wasn’t the best position to birth in, but I was comfortable and didn’t want to move again. Three doctors and three midwives were in the room, all commenting on what a great job I was doing, which was encouraging. After wards, I was told the doctors were there to intervene (they wanted to use the vacuum forceps) but the midwives stuck up for me and said I was going to do it on my own. The next push, I was crowning.

I knew this bit would sting, and it did, but I was so determined to finish it, that it didn’t really bother me. Next thing I knew, the head was out, and on the next contraction, the rest came out, and then she was up on my chest, looking me in the eyes. She didn’t really cry, and was so alert, it was amazing. Within 10 mins, my husband and I had taken photos and texted family and friends to share our excitement.

Out of everything to worry about in labour, tearing was high on my list, only because I have had some close friends who had really terrible tears. I had a second degree vaginal tear, and a small perineal tear, but it wasn’t as bad as I thought it would be. I was stitched up, and hardly even noticed it after wards. It wasn’t worth the worry.

And, all in all, I thought the whole process was relatively easy (I know every other mother out there is annoyed by that sentence!). I had such a positive experience, ultimately because I was in control of every aspect of my birth, and was encouraged and supported to have faith and trust that my body could do it on my own. After wards, I felt so empowered and strong – I had had a baby!!

The only thing disappointing about the whole process was that I didn’t get to have my dinner party…