****Disclaimer: This was written as a requirement for my doula training and certification. It is a very personal account of my childbirth experience. It is not graphic but you may feel awkward at times with the candid nature of the article. I hope it gives you some insight into the amazing world of natural child birth, maybe it will even inspire you to experience it for yourself.****
It was the Sunday after Thanksgiving, 2007. My family had just left town. With the house quiet my husband and I decided to stay home from church and rest together. We watched silly movies on TV and I napped on and off all day. My due date was just five days away, but I felt remarkably fresh. My husband hung the Christmas lights on the house, we ate a bite of dinner, I had a girlfriend polish my toes and then we headed for bed early. At one 1:00am I awoke suddenly thinking I was wetting the bed. In my fogginess I tried to stop but couldn’t, then it dawned on me, my water had broken. After cleaning myself and our bed I decided to go back to sleep. My husband eagerly and anxiously whizzed through our Bradley Book and got out the stop watch. He was puzzled to see me get back in bed. He said, “What are you doing?” I responded, “Getting some sleep while I still can.” Then all of our Bradley training rushed back to him… “this is natural and normal, let’s behave that way, no fussing and no worrying…just being…” and we both relaxed and settled back in.
It was about twenty minutes later that I felt my first contraction. The first three or four came steadily but slowly at first, and then I really started to notice their increasing intensity and frequency. Not long after my labor began the discomfort from the contractions moved from my belly to my back. Jason quietly timed each contraction and would rub my back to help me through. We’d chat quietly as we waited for the next contraction. At 4:30am I suggested we meet our midwife at the hospital which was 30 miles away. I wished to stay home longer but I feared for the morning commute traffic that would be out in the next two hours. My contractions were strong and about three minutes apart, lasting about forty-five seconds to a minute, but I was still surprisingly “chipper” between them. I found this very encouraging and very rewarding, almost like I was getting the break I deserved for all my hard work. I knew a natural delivery could be done…I was doing it!
We drove to the hospital, my husband talking on the phone with my father, about FOOTBALL of all things, and I labored the entire way, laughing when I could about our lightheartedness and pleased that he was so calm and so obviously capable. When we arrived at the hospital I was still in fairly good spirits, but becoming more focused. We checked in and began the walk to the L&D floor, the aid would pause as I would stop and cling to Jason for contractions, then we’d walk some more. She asked, “Has your water broken?” and was shocked that it had and suddenly she took us very seriously. That amused me because I knew what I was doing was uncommon, and that motivated me. Upon settling into our birthing room the nurse checked me and I was dilated to 5. They were amazed at how well I was handling the labor. My long time friend, and aspiring doula, met us at the hospital so she could observe my delivery for the purposes of getting her certification. She was also surprised at how calm and collected we were considering the progress of my labor. It was about six am. We labored quietly together, knowing that with every contraction we were one contraction closer to meeting our son.
After 7am it was all work for everyone; longer contractions, closer together, shorter breaks but making good progress. I labored on a ball, on my hands and knees, hanging on Jason, lying on my side and in the tub. It was a lot to bear but I was doing it, Jason was encouraging me, hydrating me, massaging me and rocking with me. He was wonderful; leading me through the process, all I had to do was get through each contraction. That was my only job. Between 9:30 and 10am the nurses checked me again and I was dilated to 9 and they were hopeful that the baby would be here soon. I didn’t care about their estimations, I just knew he was coming and I had work left to do. In the last few hours my labor was intense. My back felt like it might break. The contractions in my abdomen were not even noticeable. The labor was entirely in my low back. I just kept telling myself to relax my face, hands and feet and when I did this the contractions became bearable. I also kept reminding myself that I had to keep my mind in check. I couldn’t give way to the thought that this was too hard, it hurt too much, or that I couldn’t do this. For me, the only thing I could think about was breathing, and letting my body do this very normal and perfect thing. My friend, the aspiring doula, read me the notes the nurse left on the computer screen and it was a great encouragement to me. It read, “Patient has incredible pain management ability and has great labor support”. I knew I was succeeding and it wouldn’t be long. Finally, the urge to push overcame me, it was overwhelming. The midwife checked me and gave me the go ahead to push. I stood at the edge of the bed with my hubby behind me and I pushed. Later I was disappointed to learn the midwife had cleared a cervical “lip” out of the way which took me from “9.5” to 10.
I began pushing at noon. I was surprised when my pushing efforts did not produce a baby very quickly. By now my mother in law, sister in law and another friend had all arrived, fully expecting that the baby had been born based on the good and fast progress I had made in my labor. They were all standing quietly in the corner watching Jason and I work. I would open my eyes from time to time and see them, and I remember feeling so groggy and foggy that I thought to myself, “I feel like I’m on drugs.” My mind and body were so keyed into the task at hand that anything outside of that seemed unreal and distant. I was amazed at how effectively I could relax between pushes; it almost didn’t seem possible to feel that rested (even if for just a few seconds) amidst that much pain.
After about an hour and half of pushing in several different positions the midwife began to suspect that the umbilical cord was wrapped around my son preventing his delivery. She consulted the doctor on call from the midwifery practice and he suggested I stop pushing as it appeared my cervix was beginning to swell (it became obvious that the cervical lip she had “cleared” did not stay that way). They placed a fetal heart monitor on his scalp and after a pause in pushing we continued again. Samuel, my son, never descended far enough to use any instruments to assist in his delivery (he never made it past -2 station). After another hour of pushing and the rapid decline of his heart rate (in the low 70’s) and slow recovery of his heart rate after each contraction (after pushing, ceasing pushing for the two subsequent contractions giving his heart rate a chance to pick up) the midwife felt it advisable to consult the doctor again. He explained that Samuel’s heart rate had been too low for too long and that it was time to take him by c-section. I was devastated and asked if there was anything else that I could do. He and the midwife said they had done everything they could, the safest thing for him was to be delivered immediately. I was quickly taken to the operating room and Samuel was delivered within three minutes or so. The midwife stayed by my side through the operation and assured me that I had done a great job and that the c-section, while not ideal or desirable, was entirely necessary. Once he was delivered the doctor we discovered that he was posterior (explains the enormous amount of back labor!) and asynclitic (ear to shoulder).
Those issues in combination with a seriously rotated pelvis (learned after my delivery based on x-rays taken by my chiropractor) made it practically impossible to have a vaginal delivery. I am presently and regularly seeing a chiropractor to have my pelvis restored to a more optimal position. For future deliveries I have also found a chiropractor who specializes in the Webster technique which is designed to help women 30+ weeks pregnant prepare for natural childbirth through the strengthening the uterine ligaments and properly aligning the pelvis for delivery.
The days following the c-section were hard. I was in pain, aside from the wonderful arrival of my sweet son, I was disappointed in the final outcome of my birth experience. I struggled with my emotions and with nursing. Samuel suffered cervical subluxations (bones out of alignment in his neck) which prevented him from nursing on my right side. We took him to our chiropractor when he was five days old and that corrected the problem immediately. He became a great full time nurser and I did not wean him until he was sixteen months old. While the delivery portion of my story is so far from what I wanted and even farther from what I expected, I am so delighted by the memory of my labor process. It was a precious time with my husband and an incredible testament to the design of the female body and our capacity to give life.
I continue to marvel at my son, even more so now than on the day he was born. My husband and I hope to have our ideal Bradley Birth one day. We have struggled to conceive a second child despite our efforts over the past thirty-six months, and we are now seeking the aid of an infertility doctor who is hopeful that with some very modest interventions we will become pregnant in the next few months. She suspects that the c-section has played, at least, a minor role in our struggles so far with conceiving. However, until that day comes for me I hope to help other women have the birth experience of their dreams and also to encourage them to try again if they don’t.