Tag Archives: birth

A Year Ago Today: An End, Of Sorts

As much as I did not want to make the trek to the hospital only to be returned home, I felt like I could not stay home much longer. At one point I demanded Ben vacuum the living room rug because the sight of Wrigley’s fur embedded in the fibers was driving me utterly nuts. I could not concentrate. Ben called the new midwife on call. I can’t remember much about what she asked me other than if I’d slept and saying something along the lines of fatigue being the enemy, which made me feel even wearier. She told us to come to triage because after my appointment on Monday, she did not think I was very far along. Ben packed the car and we left for what we assumed would be a short trip before we were sent back home. I had at least three contractions on our way to the hospital. Houston traffic is miserable in the best scenario, let alone while laboring. Ben said it took 45 minutes to an hour for us to make it to the medical center, what should have been a 15-20 minute drive. Then it took us awhile to figure out how to get to the St. Luke’s entrance. I wanted to be frustrated, but I was too tired. I struggled not to cry as we left our car with the valet. I was excited and nervous to walk through the hospital doors, still very unsure of what it would mean for us. We left our bags in the car and made our way to L&D. Kristi was there when we arrived. They were going to hook me up to a monitor but they let me finish a contraction first. When they came back they told us they were moving us to a room because they were pretty sure I was in labor. I stopped by a scale on the way to the room and could not have cared less had it read one million pounds. Once in the room, they wanted me to hook up to the monitors but another contraction had already started and brought me to my hands and knees. Thankfully our nurse was gracious and accommodating and worked around me. I anticipated the nurse being a random appendage in the whole process, but ours was an integral encouragement throughout labor and delivery. When my midwife came in to check me I was 4-5 cm dilated and as I remember 80-90% effaced and at a -2 station. I could not believe it. Leila had been working all night. The discomfort was not for naught. I was in labor. It was enough for them to keep me in the room.

Things were moving along, but Leila needed to turn. My midwife had me turn on my side and labor in that position, with one leg outstretched and the other bent up to aid in her turning. It was miserable. Unlike walking or leaning there was nowhere for me to physically move through the contraction. I just had to lie with it. After awhile in this position my midwife asked if I’d like to labor in the tub. I wanted to, but I was worried. I asked her if it would slow things down. She assured me that nothing would slow things down at this point, which was the most reassuring thing I could have been told. The tub felt wonderful. At first I struggled through the contractions, but they showed me how I could turn on my side. As nice as it felt, eventually even the tub ceased to be a comfort. They helped wrap a towel around me and I leaned against Ben and did a laboring slow dance. It was so comforting to have him hold me. I wanted to fully appreciate how amazing Ben was, how attentive and prayerful and loving, but the whole labor I had no words. I had no desire to talk and I had no desire to be spoken to – the only thing I could tolerate was brief encouragements to breathe or change positions. My midwife would feed me words of encouragement, telling me that I “couldn’t be doing it any better” or how natural I was. The simple assurances were so comforting. I could not connect to anything beyond what was going on within my body.

The lights remained dimmed, and the room felt like a cocoon. I labored in this sacred space, shared only with this small tribe of the most amazing women and loving man. Prompted by Kristi or my midwife I moved from one position to another. Despite hours spent squatting in yoga, unable to move my inflated body into more limber positions, I physically could not squat through a contraction. My midwife checked me at 6 cm/100% effaced/-1 station and 8 cm/100% effaced/-1 station (when Leila still hadn’t turned) and 8 cm/100% effaced/0 station again (when Leila turned into position). I felt discouraged to hear I was only at 6 cm and that I’d remained at 8 cm. After one of the checks Kristi asked me what I was thinking and I confessed I was thinking about “the thing I didn’t want to think about.” It was not that the pain was unmanageable, but rather the fleeting fear of how much longer this might last. My midwife quickly asked what we were talking about.

“Are you talking about an epidural? That’s okay. Just because you’re talking about it doesn’t mean you’re asking for it.”

It was exactly what I needed. The freedom to let the thought enter my head without the fear that it would lead to a sitcom inspired scream for drugs. I no longer needed to entertain the thought.

I eventually asked if it would be okay for me to return to the tub. This time it brought fleeting comfort. I spent most of the time bent over the edge of the tub, working through a contraction. I would sit halfway back before I felt the need to lean over again. At first I thought I was misreading the end of the contraction, but then I heard my midwife say that I was “coupling.” After about half an hour I got out of the tub and again danced with Ben before moving back into the room. The next two hours felt much longer. My midwife moved me to my side again. I didn’t want to be present in the agonizing contractions, but there was no other choice. They needed me to stay in bed and remain hooked up to the monitors. Eventually I had to move. I got on my knees and leaned over the bed. In the last thirty minutes of transition the pain was so agonizing it literally took my breath. I wanted an epidural, I wanted a c-section – I wanted to know this was going to be over immediately. Through every breath I kept waiting for the guttural change that signaled I was ready to push. I tried to will my body to make the noise, but the contractions were too intense for me to do anything other than survive them. A few times I said I couldn’t do it. It was not so much the labor but the breathing. I would hear a chorus of encouragement to breathe. I needed it. I begged for my midwife to come back in the room and check me. I was 9.5 cm and she thought I could start pushing. She asked me if I felt the need, and I remember hesitating and deciding to answer yes even though I wasn’t sure. Later Ben told me that he caught my hesitation and worried I was lying to my midwife. I prayed desperately that the pushing would only last 20 minutes. I could not imagine enduring two more hours, my body was so fatigued. During the last leg of contractions my leg would shake violently. But it was true was our birth instructor told us, pushing was a relief. I felt so relaxed after my first round of pushing. I only remember pushing four or five rounds, but by the end the constant breath holding made me start to feel dizzy. I wanted to ask if she was close, but I knew it was best to stay focused on each breath. At 6:06 pm, after almost exactly 20 minutes of pushing, Leila made her full appearance. Ben looked at me with tears in his eyes and announced her arrival with wonder. They threw her up on me for a second before taking her across the curtain to be checked by the pediatric team. When my water finally broke there was a lot of dark meconium, so my midwife wanted to make sure that everything was okay. I could tell she was really conflicted about it, but later I realized that it was a blessing. Ben was able to bond with Leila while I could lie back and let my midwife help me through the last part. I will never forget seeing Ben walk out from behind the curtained divider holding our baby as if it were the most natural thing in the world and then tell her he loved her. Our midwife said in 21 years she has never heard a father welcome their baby simply with “I love you.”

Finally I was ready and Leila was ready and they laid her on my chest to breastfeed. I saw Ben overcome with emotion the second she entered the world, but it was the moment that we physically reconnected again that I felt teary eyed and was overwhelmed by what those 9 months and 20 hours and 6 minutes meant. I am a mom, and this is my daughter. My absolute favorite scripture is Isaiah 41:10 – “So do not fear, for I am with you; do not be dismayed, for I am your God. I will strengthen you and help you; I will uphold you with my righteous right hand.” I felt that verse in my soul as this most beautiful baby readily took to my breast. I was filled with an overwhelming sense of protection and trust, and gratitude. Later a friend asked me if being a mom was the best thing ever. I told her I didn’t know yet, but I did know that I had never felt more grateful for anything in my entire life.

By 8 pm we were finally ready to be wheeled over to our postpartum room. I felt regal as they wheeled me to our room, holding Leila, the center of the universe. All of the grandparents and aunts were waiting for us. It was a nice reunion. Later Ben and I ate the hamburgers our parents bought. Ben said it tasted like the La Sierra burgers we used to eat when we lived in Kigali – it was not so much how amazing they actually tasted but the context that made them unbelievable. Later that night neither one of us could sleep, so we stayed up reliving the entire labor and delivery experience. It was one of the sweetest nights I’ve ever had in my entire life. If God ever asks me what two days I want to relive, I will say our wedding day and Leila’s birth day. Hands down.

A Year Ago Today: A Middle

“The deepest pains may linger through the night,

but joy greets the soul with the smile of morning.”

Tuesday was much better. Leila’s official due date. One of the chiropractors was out, so I had to keep my original appointment for the following Monday, which surprisingly didn’t make me anxious. I intended to do a lot of work, but I was so tired. The week before I decided to quit my weekly yoga classes until after the baby was born, and I was not in the least tempted to drag my swollen belly through an hour of Forrest yoga this particular morning. Instead I took a leisurely two hour nap in the afternoon and went on a nice long walk with Wrigley. Ben and I had a nice evening together, thus completing the short list of physical activities rumored to induce labor. I doubted that either would work for that particular purpose, but I was hopeful that all was well with our baby and things would progress like they should. Ben was just about to turn out the light when I felt some cramping. I knew I had no other signs of labor and this was probably just my body practicing, but I could not help but feel incredibly giddy. Ben told me to try to relax and get some rest (as he did many times that night), but I was excited and hopeful. I watched our usual episode of Seinfeld and felt my body continue to cramp. When I hadn’t fallen asleep by the end, I tried another episode knowing that was usually enough to lull me to sleep. I was still awake after my second attempt, and I think I might have turned on a third. I cannot remember if I even made it through that episode before I got restless and decided to get out of bed. I told Ben I was still feeling something, and he sleepily told me to try to get some rest. I could not sleep, and I did not particularly want to either. I finished watching the last two episodes of The Good Wife. I felt more comfortable sitting up, but I also felt increasingly alert and started to give up on the idea of ever falling asleep. Even as the contractions increased, I downplayed the possibility that I was in labor. I finally timed my first contraction at 2 am, which confirmed that they were as frequent as they felt, only about five minutes apart. I emailed my friend to cancel our plans for tea the next day, though I didn’t have the courage to admit the real reason.

Done with entertainment and email checking and faced with strengthening contractions I finally asked Ben to wake up and keep me company. Convinced the discomfort was nothing, I hated pulling him out of bed and wasting one of his vacation days. At some point I asked Ben to start timing the contractions. From the first one to the last, they were never more than five minutes apart, and some would only last as long as two minutes. Ben made me some peanut butter and jelly toast, but I couldn’t keep it down. At first I got on my hands and knees through the contractions. I dreaded the fifteen minutes I’d spend in that position during the last month, but somehow it was the most comfortable during the contractions. After awhile I worried that I defaulted to that position longer than the 45 minutes our birth class instructor recommended and transitioned to walking. At first I’d walk from the living room through the dining room into the kitchen and through the hallway back to the living room. Eventually I opened the doors and started doing laps in the same manner that our dog Wrigley used to sprint through the house. Ben offered to go on a walk with me once it got light outside, but by the time that came I was not feeling up for a walk through the neighborhood.

Eventually we decided it might help me relax if we put on a movie. I decided on When Harry Met Sally, my default when I’m not feeling well, but sitting still on the couch was too uncomfortable so I kept making the laps as the movie played. Thinking back on it, the first 12 hours of labor were so tame comparatively, I can hardly believe my struggle with them at the end of the night. Of course, at the time it was all I knew. At around 4 am, Ben started texting and calling. First it was his boss, to let her know he would not be in that day, then my brother, asking him to come by to get the keys just in case he needed to spend the night with our dog. My mom might have been next, warning her we might not be around for the cleaning she had generously scheduled. Thankfully he did not forget our doula Kristi. She suggested we contact the midwives. She also asked that I try switching up my contraction routine and try leaning against a wall while I swayed my hips. Maybe it was the actual move or the natural progression, but it made the contractions feel miserable. As much as our birth instructor had repeated it in class, it was hard to relax into the pain and trust that instigating it instead of relieving it was the right thing to do. Ben called the midwives and at first spoke with the one I saw on Monday. After assessing the situation with Ben she asked him to call back when the next midwife came in at the 7 am shift change. At some point Ben suggested I grab a shower. It brought such blessed relief. Instead of my usual quick ritual I took time to wash and condition my hair and even to shave my legs. I think the shower slowed down my contractions, but I was nowhere near comfortable enough to lie down and take a nap. My brother came by for the keys while Ben was in the shower. I could hardly summon the energy to get to the door. Most of the labor is a blur and I have a hard time remembering what exactly happened when, but I remember at one point early in the morning finally feeling like I could not walk through the contractions anymore and if I could physically talk through them I certainly did not want to make the effort. I’m not sure how much I actually did, but I just wanted to cry – out of excitement, out of pain and out of sheer fatigue.

A Year Ago Today: A Beginning

For so long in the pregnancy I was sure Leila would come early. Every story seemed to be of babies coming exactly four weeks in advance. Then four of the seven couples in our birthing class had their babies, and we both became anxious for ours to arrive. The birth story tide turned, and all I heard were ones of babies that needed some pitocin prodding to enter the world. I was nervous we would have to induce and began wrestling with that prospect. Appointments I was convinced I would never attend because our baby would already be here came and went. One of those was a final visit to the chiropractor. She pushed on my stomach but Leila didn’t make a peep. She cajoled her, “Come on baby, move,” but it wasn’t until I turned over that her little body squirmed. The quiet movement was enough to prevent panic but not enough to entirely alleviate the fear that had already set in the pit of my stomach. I followed my usual post-chiropractic ritual and swung by the store for some staples, but I could hardly wait to get home and lie down to feel her move. I ate and drank something cold and waited. Her reaction was slow and faint. I called the midwives and scheduled an appointment for 3 pm. I was sure I was overreacting and the second they hooked me up to the monitor my fears would be dispelled. But I lay hooked up to that monitor waiting and praying for movement and feeling hardly anything. The nurse or midwife would come in intermittently to check on the progress. They didn’t seem panicked but they kept me there for much longer than I anticipated. At one point I shared with the midwife that I was feeling hungry. Maybe that was the problem. She brought me a cold Sunkist. The cold sweet fizz made me feel better, but nothing changed with Leila. I have no idea how much time passed, but eventually the midwife came back in and shared what I dreaded. Our baby was not moving enough to pass her test. It was not enough to terrify her, but she wanted me to get an ultrasound and then go over to the hospital for further monitoring.

I wanted desperately for my maternal instincts to be wrong in this matter. I wanted for my last minute visit to be a frustrating addition to their schedule. It was not. Moreover, I was not even close to being in labor. She did my first pelvic exam and could hardly find my cervix – I was 0 cm dilated and my cervix was still “thick.” The midwife walked me around to the other side and I waited to be called in for the ultrasound. I tried to call Ben but there was no reception. I felt the start of tears, but I remained strangely calm. It truly was that divine peace that passes all understanding. My heart finally understood that the best thing I could do was fearlessly focus on the moment at hand – a wonderful lesson for labor and parenthood in general I suppose.

I didn’t have to wait long before the ultrasound tech called me back. It was a short visit – Leila was moving beautifully and my fluids were at 15, well above the 5-6 they needed to be at in order for Leila to be safe. I walked back over to the midwives practice with a much lighter heart. The midwife wanted me back on the monitor. It was the end of the day, so I couldn’t stay long, but she needed more convincing before deciding against sending me to the hospital. Leila hiccupped and wiggled. I felt such joy with every movement. Finally it was enough. I think the midwife was unsure about this turnaround, but I was only grateful in that moment. She encouraged me to try to schedule the induction procedure with the chiropractor as soon as possible. We cancelled my usual Tuesday afternoon appointment and rescheduled me for Thursday. I called Ben as soon as I left the parking garage. I hated that I hadn’t been able to talk to him sooner. I should have called him before I went to the appointment, but I knew he couldn’t join me and I didn’t want him worrying in the meantime. I wanted some comfort food, so Ben called in an order to Pappa’s Seafood, and I picked it up on my way home. That night was really hard. We both felt lonely, and our house felt empty. I emailed a few close friends asking for prayer, and we went to bed.