Community Birth Story: Colette Josephine

Community Birth Story: Colette Josephine

imageFAA36 As told by Lilly:

The Wednesday before Colette’s birth just happened to fall on Ash Wednesday, a time of preparation for a spiritual journey, which is exactly what I was experiencing that day in my own way. That evening I felt off. I just did. Nothing was going right in my head, my thoughts and emotions were all a jumbled mess. The night before, I had gotten some beautiful words of wisdom from my dear friend Tabitha about all the fears of inadequacy I was having, she was so encouraging and assured me that all my feelings were a clear indicator that labor was soon to come. She was right. In retrospect I was displaying so many signs that I had also displayed just before I gave birth to our last child, Clare. I didn’t want to eat dinner, I had pressure in my bottom, I wanted to take my 3rd shower/bath of the day lol, and I really needed the kids in bed. All random things but all things that I had done the last time as I was approaching labor.

That evening I prepared a quick dinner, that I made a mess of repeatedly. I laid down in the other room while my husband, Colin, fed our four kids. I was so exhausted. But I wasn’t having any contractions or show or anything. So much of my “labor” that evening was getting over all these emotions I was having. Once Colin fed the kids he went to the gym and I put the kids to bed. I rushed through the bedtime routine and was grouchy, then I was sorry and just felt like I really needed to chill out. So I grabbed a nice bottle of wine and had a glass while I soaked in the tub. It was exactly what I needed. I texted with my doula Amy after putting the kids to bed and she really helped me through so much of the feelings that were troubling me. I had fears of delivering next week and what if the snow storm kept everyone from being there including Colin?! She assured me that those who are meant to be there will be there. She was so right!! But little did she know what that actually would end up looking like!

Colin came back home while I was in the tub, he jokingly asked me if I was in labor since I was in there. Haha no…so he went back downstairs to eat while I finished up and put Clare to bed. I met up with Colin downstairs and we watched a bit of a movie together before deciding it was getting late. We joked again about having the baby tonight but I told him that I was too tired and that I didn’t think it would happen. We went to bed at around 11pm/midnight, and shortly after I started getting small “Braxton hicks” contractions that didn’t demand any attention so I went to sleep listening to hypnobabies.

At around 2:15am I realized that those annoying little “Braxton hicks” contractions were still there, but they started to feel a bit like real contractions. I figured I just needed to use the bathroom. So I got up and went to the bathroom, but it didn’t help. I realized that I quickly had to figure out if this was the real thing or not, and boy did I second guess myself!!! You would think that after having 4 kids, being a childbirth educator for 5 years and being a birth doula myself that I would be able to recognize signs of labor just like that…but it’s so different when you’re in the moment and you don’t see the signs you were expecting to see! I knew that worst case scenario, if this was it, that I needed to act fast because my track record is one of very fast labors, so I decided the best thing to do was to go and consult with Colin while he’s fast asleep.

So I walk over to his side of the bed and try to wake him up, he’s only been asleep for like 2 hours so he’s not really registering my presence. I have another contraction while standing there, this is really starting to seem like the real thing. “Hey babe, I think I’m in labor, I’m not sure, should I call the midwife?? I don’t want to bother anyone…I’m not sure what to do…” Lol his half asleep response was something along the lines of “You know if you’re in labor or not, so if you are then call and if you’re not then let me go back to sleep” LOL I love this man, straightforward and to the point which is what I needed him to be! I didn’t have time to keep second guessing myself, so I called the midwife at 2:20.

Now, in my head, those 5 or so minutes were much longer than they actually were. In my head the contractions were much shorter and spaced out as well. When I called the midwife I had a contraction. I explained to her that they’re only about 30 seconds long and are coming like every 5 minutes. Colin corrected me. I had had like 2 or 3 during the last 8 minutes…hmm I should pull up a contraction timer app, clearly my perception of time is off. Colin finished off the conversation with her, she said she was coming and calling the birth team. Colin went to fill up the tub for me after getting off the phone.

Once I pull up the app at 2:30 and timed my contractions the reality of what was happening hit me like a ton of bricks. I’m in full blown labor. Darn! How did I miss that?! How was it all happening so fast?! The contractions are closer to a minute and a half long and they’re coming every 3 minutes!!! Ok keep your cool Lilly. Put your head phones in, zone out, and pray for peace. I sit on the yoga ball and rest my head on the bed. Colin squeezes my hips together to relieve some of the pressure. It really helps. I feel his love and strength and it encourages me. We will be ok, we can do this.

I get a text message from Amy about getting the hot water heater temperature up, I told Colin he could run down to the basement and do that as soon as this contraction ends. Hurry Colin you have 3 minutes, go! Of course he takes forever! In reality he took like 8 minutes because he ran into some kind of energy saver feature on the tank that prohibited him from turning it up, who needs to save energy while they’re in labor?!? I don’t!!! Darn feature. Anywho, while he was gone I ran into a bit of an issue. I started feeling like I needed to push…I needed to stand up, I
could no longer sit and kicked the ball away. Hmmm what to do next…? Oh yes! Get a chucks pad for the floor! Ive seen this part enough to know I’m about to make a giant mess, tmi but let’s be real here lol. So I’m standing over the side of the bed with a pad on the floor to keep me from ruining my carpet and *trumpets sound off* my Colin reappears! I don’t care about the water heater at this point, I don’t even have a chance to tell him I’m feeling pushy, I just need him to get back to the hip squeezes ASAP, the next contraction is coming and I know it’s going to be a big one. So he squeezes my hips together (he told me later that he could actually feel the baby descend at this point which is pretty cool!) and GUSH!! My water broke! 2:57am. Thank goodness I saved the carpet ;)

I knew the baby was coming. Colin knew the baby was coming. He asked me if we should move, I’m in the middle of this contraction, sorry not moving. Ok it’s done! Let’s go! I run to the tub! He tries to get stuff cleaned up, no time for that. I get in the water expecting relief, nope doesn’t happen, I get another contraction, I feel pushy so I push a bit…that feeling…I recognize that feeling…the baby is coming right now. I feel for the baby’s head…yup! There it is! “Colin the baby’s coming!” “What?!” He looks. “Oh yea… the baby IS coming!” He gets in the tub behind me since I’m on my knees. (Mind you, he was so adamant about NOT getting in the tub lol!) he reaches for the baby’s head, I feel his hands on the baby’s head along with mine, I know everything will be ok. I make a primal loud groan and I push the head out slowly so as to not to hurt myself, check for a cord around the neck, none, ok cool, and I push the rest of the baby out on the next contraction that came quick! Baby was born at 3:03am <3 One thing about my husband that I love so much is his ability to keep us cool, calm and collected no matter what. A way that he does that is with perfectly timed jokes and quick wit. As he lifts the baby out of the water, the baby makes some noises, and he says “so how do you get it to breathe?” This made me laugh and relax because of how he said it, she cried right after. He asked if I wanted to know the baby’s gender and I said no, I was in shock and just needed to hold the baby and warm the baby up with a towel. Clare had woken up with my pushing sounds and so I told Colin to go ahead and get her as I called the midwife to let her know I had had the baby and make sure everything was ok. He got her and then went to get Caillyn, our oldest child <3 the birth team arrived shortly after Caillyn came in.

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To give you an idea of how insanely quick and intense it all was, I started timing contractions around 2:30 and had about a dozen contractions from the time I started timing them to the time she was born. They were lasting on average 1 min 16seconds long according to my contraction timer app! Once Caillyn got there I had already seen that this was in fact another girl and we rejoiced over the fact that we have the boys out numbered now since this baby #5 was our tie breaker! She was so excited! When the birth team got there I delivered the placenta just fine, got cleaned up and then we went to the bed to cut the cord, Caillyn was so excited to cut it! Colin then went to go get the boys to meet their sister!

Christopher, our 6 year old, had the best reaction! Colin went to go wake him up and said to him “do you want to come see something special? Mommy had the baby!” He instantly woke up and said “You’re kidding!!” Twice! With the most excited look on his face! He cartwheeled off of the top bunk! His smile went from ear to ear as he entered our room! Connor *our 3 year old*, on the other hand, was not impressed to be woken up at 3:30 am so he went back to bed lol. There was so much excitement in the room, so many sweet photos and moments as we all fell in love with baby Colette. She measured 7lbs 19.5in and is absolutely perfect! Everything was perfect, I couldn’t have imagined a better way to have welcomed this little girl, this beautiful gift from God. <3

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Community Birth Story: Emily

Community Birth Story: Emily

As told by Lauren:

Barefoot, wet grass, the confluence of the Potomac and Shenandoah Rivers, dancing under a big beautiful moon. This is my favorite memory I have of my early labor, as my body was preparing to birth Emily into the world, so this is where this story begins, right in the middle of an amazing journey. As I looked up at the moon I had a sense that she wouldn’t actually be with us until the full moon and I didn’t have the heart to tell my husband or Shawna, our doula, of this knowing, considering it was Wednesday night and the full moon wasn’t until Friday. Maybe a part of me didn’t want to believe it either.

How had we gotten here – about to birth a baby in our home? Only 1% of births in the United States are home births, and that wasn’t our plan or even a consideration for me when the pregnancy began. When I think about what sets things in motion, the events and conversations that occur that are somehow part of a story that I didn’t even realize was being written, a few things come to mind. August 2011, a Spiritweaves workshop entitled Emerge, in Dallas, Texas, and a conversation with Heather, a friend who introduced me to conscious dance and who was pregnant with her second baby during this workshop. We talked about life and dance and pregnancy and she said, to give her a call if I was ever pregnant. Since Aaron and I weren’t really trying or planning on being pregnant, it was an offer I filed away but didn’t think too much about. It was the first seed though.

Heather shared her birth story via email in January 2012, only a few days after we discovered we were pregnant. She has an amazing and beautiful story of dancing and ecstacy and water birthing in her backyard. I cried tears of joy reading her story and thought, I need to call her and let her know we are pregnant. Aaron and I talked then about a home birth and I said I was more comfortable in a hospital, especially because I would probably be considered high risk due to a previous myomectomy. So that was our decision and I found a nearby hospital and obstetric practice that looked to be a good fit for us.

I shared the good news slowly at first, as most women do. When I told my friend Amanda she suggested getting a doula, well not really suggested, she recommended as strongly as one can and then she sent me links to the organizations that certify doulas. This was in February, I was still in my first trimester and began writing down names and numbers of people to call but didn’t yet make any calls. This was another seed.

Prenatal care with the OB group was pretty textbook. They have five docs and any one of the five might deliver the baby and we rotated through all five throughout prenatal care. I loved the doctor at our first appointment. At our second appointment, the doctor, who we didn’t love so much, said that I would have to have a c-section. Well this was news to us because we really wanted to try for a vaginal delivery. She said it was automatic because of the previous surgery. I remember my surgeon saying that I should be able to birth children vaginally but wasn’t certain, especially since I wasn’t even thinking about children when I had the surgery, so I decided a call to his office was in order.

At our third appointment, the doctor said we needed to have a c-section. At our fourth appointment, the doctor wanted to discuss our birth options, given the previous surgery. Discuss? Options? This seemed a bit better than the other doctors and we appreciated our wishes being heard and acknowledged. He discussed the risks of a vaginal delivery after a previous uterine surgery, which were a bit scary to be honest (uterine rupture). He also talked to us about an epidural, saying at this appointment that I shouldn’t have one if I birthed vaginally because it would mask the pain from a uterine rupture, but if the uterus did rupture then I would have to be rushed to an OR and knocked fully out for the birth and that there would be no time for an epidural so that I could be awake for the delivery. Sheesh – hello fear…

I shared with the fourth OB that I had talked to the surgeon’s office and he said that he didn’t cut too far into the uterus so I should be able to birth vaginally, but he deferred to the OB for a final recommendation. The fourth OB offered to call and talk to the surgeon doctor to doctor and get more details about the surgery. I called the surgeon again letting his office know that my OB would be calling to discuss this and I remember saying that I would be “forced” into have a c-section unless the surgeon talked my OB and provided more details about why he thought it was okay. At this point I still hadn’t realized that how I birthed my baby was MY decision.

Well the OB and the surgeon chatted and everyone got on board with us have a vaginal birth – yay! Or so I thought everyone was on board. OB #4 said over the phone that I would need to have an epidural (reversing what he said at the appointment) because if the uterus ruptured they could more quickly operate, saving precious time. I asked about the difference in what he said earlier, an epidural masking the pain and he said that if the uterus ruptured they would know based on the baby’s heart rate dropping.

Incidentally, we did some research and the risk of uterine rupture after a myomectomy during birth was really really low in the three studies that had been done. And those that did have a uterine rupture, none were associated with actual labor or at the site of the myomectomy incisions – they were do to other circumstances. So the surgeon’s blessing and the VBAM research, along with all of the VBAC research out there, made us feel comfortable that the benefit of a vaginal birth far outweighed the risks.

At the same time, I had some fibroids that the OBs were watching and they referred us to the high-risk doctors to monitor with additional ultrasounds. We had the 20 week anatomy scan and everything was looking good (it’s a girl!), the fibroids were super small.

I took a trip to California for a week-long 5 Rhythms dance workshop called Medicine Dance at Esalen Institute. This was true bliss, the dance, the ocean, the Esalen massage, and the baths. This was also where I was able to truly disconnect from work and the world and connect to this amazing soul growing inside me. I learned to listen to my body in ways I hadn’t ever done so before. I was aware, grounded and present. I loved being pregnant! And I loved our little girl! While at Esalen, a fellow dancer was a doula (she said I should find one) and she recommended Hypnobirthing – third seed.

We began researching what they do in hospitals to babies immediately following delivery (Vitamin K shot, eye treatment, Hep B vaccine) and discussed what we might want to decline and realized we definitely needed to develop a birth plan. We toured the hospital and felt comfortable with it.

At this point my appointments started going from once a month to every two weeks – holy cow! Already?! I had just hit my pregnancy stride – I was feeling good and loving being pregnant. Beyond the fight for the vaginal delivery and touring the hospital, I hadn’t really begun thinking about the birth in more detail. Then I remembered what Heather said, to call her, which I did and then the real fun began!

Our 2 hour phone call was instrumental in leading me down a more conscious birth experience. She recommended Hypnobirthing and a doula (where had I heard that before ☺) and some videos and books. She was so encouraging. Our discussion made me realize it was time to begin planning the birth. So I did a few things, I signed us up for a Hypnobirthing class, I began calling the list of doulas I had found to set up interviews, and contacted the hospital’s birthing coordinator to discuss our birth plan (which I hadn’t put together yet).

On Heather’s recommendation, we watched Pregnant in America (disclaimer: biased towards home birth), which isn’t the greatest documentary (the husband is super annoying), but it does a good job of sharing the evidenced-based risks of epidurals and other medical interventions that occur in hospital settings. The people who are interviewed in the video are experts in the field and shared a lot of really important information that made Aaron and me begin thinking about what we wanted and therein began our numerous birth conversations.

Then we found our doula! We wanted someone who would have our back in the hospital setting because we realized we might be in for a fight to have the birth we wanted. We knew immediately when we interviewed Shawna that she was our doula, but I insisted we interview others, just to get an idea of what is out there. It was good we did, because the others we interviewed were not a good fit for us. My recommendation to other pregnant women is to interview doulas until you find one that is right for you. They offer the same type of services but personality is everything – who do you want with you at the most sacred and intense moment of your life?

Shawna loaned us some books and videos. We watched the Business of Being Born. A must-see for any pregnant mama. Despite its bias towards home birth, it really lays out what occurs in hospitals around birth and provides good information so that pregnant mamas can make informed choices.

Our Hypnobirthing classes started and were really helpful. I began practicing breathing and moving more and more in preparation for birth. I still felt good about the hospital birth because of my “high-risk” status due to the previous uterine surgery. I wanted the safety net of having the OR so close because of the fear of uterine rupture. Although whenever I was at home looking out our windows, something stirred in me. I wanted to birth at home but was too afraid. The fear was too great. I thought that maybe the baby would just decide to be born at home – taking the pressure off me to make the decision and putting it on my unborn baby – how terrible is that?

The fighting continued with the OBs. The fifth OB said, oh you will have to have a c-section because of your previous uterine surgery and second OB said it again and we had to keep telling them that the fourth OB (and head of the practice) talked to the surgeon and gave the go ahead of us to birth vaginally. It was a constant telling and retelling and saying things like: please look in my chart, don’t you guys discuss things like this, and shouldn’t everyone be on board. Well the second OB didn’t see it in the chart and didn’t believe us when we said we could actually birth vaginally. She said she would talk to the fourth OB and call us back. I got a message later that said I could “attempt” a vaginal birth. My belief that we could have the birth we wanted at the hospital began to falter.

Then the Hypnobirthing class that changed everything occurred. The fear release class. I released my fears. I spoke them out loud and then let them go. My fear of uterine rupture, my fear of maternal death, my fear of complications, my fear of fighting for our wishes at the hospital. I let them all go. As part of the fear release work, we were asked to envision our family after the baby is born and when I did the background was fuzzy. We weren’t pictured at the hospital. We weren’t pictured at the house. It seemed to be up in the air – the place of birth not yet determined. And after releasing and letting go of the fear, I was now at a place to really consider a home birth. We were 36 weeks along.

I decided to interview home birth midwives.We interviewed two different midwives and found a practice nearby that was a perfect fit, Riverside Midwifery! We were going to have a home birth and I felt so relieved and excited and fear-free about it. Our first appointment with Riverside at 36 weeks was great. It lasted an hour, really. There was tea and conversation. We were so used to our 15 minute in and out appointments, this felt like the longest appointment in the world, but the best. Oh my goodness – we are going to have a home birth!!!

We began co-care (seeing the midwifery practice and the OB practice) – my decision – as I still wanted to believe that maternity care in the United States wasn’t all bad.

We had another ultrasound with the high-risk docs and the fibroids weren’t growing – yay! But then they said we should come back in for another ultrasound at 38 weeks to check the weight of the baby because she was on the high end of normal. Well our research already told us that ultrasounds at this stage were not accurate at predicting weight and a big baby wouldn’t actually make a difference related to our birth. For example we wouldn’t choose to be induced because of a big baby and we wouldn’t opt for a c-section because of a big baby. I said all of this to the doctor who was offended that I would even question the necessity of another ultrasound. He actually said that if the baby was big and I had a vaginal birth then I could tear everything up and be incontinent for the rest of my life. He really said that to a woman prone to fear in her seventh month of pregnancy. I thought Aaron was going to punch him in the face. We didn’t get another ultrasound.

I finally developed our birth plan. I had been trying for several weeks to meet with the birthing coordinator at the hospital and even though we had made the decision to birth at home, I wanted to keep our appointment with her and discuss the birth plan. This was more for my own research at this point – I was really curious, but I also wanted to know if this was a hospital I would want to be transferred to if complications arose, emergent or non-emergent. The birthing coordinator was fabulous, she was also the head of L&D at the hospital and working to make the hospital achieve the baby friendly distinction. She looked over our birth plan and offered great feedback, pointing out the things we would need to address with our provider and the saying that the hospital could accommodate our other wishes –even though they were super crunchy.

One interesting thing that happened one evening was that I became very aware that I did not want to have any cervical checks done. I didn’t know why because I hadn’t done any research yet, but I just knew. My body was telling me not to have them done. So I told Aaron we weren’t supposed to get cervical checks and he said okay. Then I did the research and realized that they aren’t necessary in most cases. In addition, cervical checks can actually introduce bacteria and cause the membranes to rupture prematurely. So many doctors do this just to let a woman know she is dilated or effaced and it isn’t necessary. Pregnant women can begin dilation weeks prior to delivery – so it isn’t a good predictor of the onset of labor.

So this next appointment was with my favorite Ob at the practice, Ob#1, and this was the appointment we were going to share our birth plan. Loved Ob#1, until we shared the birth plan. She looked at it and then only mentioned one thing on the section about what our preferences were in case of c-section. Then she folded her arms (body language experts understand the importance of this) and said oh sure everything else was fine. It was crazy crunchy. There was stuff on there that she should have talked to us about. There was stuff on there that don’t get to happen in a hospital birth very often if at all (daddy catching the baby) But she only talked to us about the c-section part. She crossed her arms. It was then I realized that this practice was going to let me “attempt” a vaginal delivery, but in reality had no intention of letting that actually happen. I would be moved to an OR for some reason and deliver my baby via c-section. That was their birth plan for me. We left and I was heartbroken. I really wanted to, needed to, believe that maternity care was different, was better than what the videos reported. But no, in my experience, it sets women up to fail. It takes away our power.

So no more co-care. At this point, I was 37 weeks. We had a home visit with our midwives and another with our doula, which were great. We started getting all of the supplies for the home birth that we would need and had those ready to go. I started crawling around on all fours, spending time on the floor, to help the baby get in the right position for birth, and spent lots of time squatting.

I should also mention that as I was getting closer and closer to the birth, I began drawing more and more inward. I spent a lot of time processing through the myriad of emotions that were bubbling up and I mean A LOT. A great video we watched, Birth as We Know It, shared that if we don’t process through and release the experience of our own birth, then we are destined to repeat it. I was born c-section. If I could change that for my daughter I would. While pregnant I became more and more aware that the fear I’ve carried with me my whole life was rooted in my birth experience. I can almost feel the cozy warmth of the womb and how scary it must be for a baby to be born via c-section. I also believe that if a c-section is necessary, either emergency or otherwise, there are things we can do to prepare our baby for that journey, just as we work and communicate with the baby for a vaginal birth journey. Just a heads up is probably a good place to start.

I talked to my friend Heather again, and she could sense (over the phone) that I was still holding on to something. Okay, more emotional work to do. More letting go of previous trauma. More forgiving of self. More listening to my body feeling the emotions buried deep inside. Really tuning into what needed to be released and releasing. It is amazing how open a pregnant woman gets as she moves closer and closer to birth. What an incredible opportunity to feel so much and let go of so much.

During the pregnancy, I just assumed I would be one of those women who works right up until she goes into labor. That was the plan. Then I decided to work until I was 38 weeks then telework from home until the baby came. Then I decided to just work until 38 weeks and not telework at all. Then I decided 37 weeks was good. Then, well, I was just sort of done working at 36 ½ weeks. People would ask if I was tired of being pregnant. No, I’m just tired of working – I love being pregnant!

So August 23 I was home on maternity leave. I did telework a few more half-days just to clean out the email and wrap a few things up. Being home during that time was one of the best decisions I made. It allowed me to let go of all of the stress of work and be on my body’s schedule. I would nap off and on during the day, sleep a little and bake in the middle of the night. And none of that mattered because I didn’t have anything to do – I was just preparing for the birth and relaxing into a new rhythm. It was glorious. One of my favorite things we did was walk down to the Shenandoah River and sit on a rock submerged in the river and let the water rush by me and then get a snow cone on the walk back to the house. Those last few weeks of pregnancy and preparing for the birth were so nice. I’m so glad I didn’t work right up to the delivery. A lot of work and connecting inward, drawing inward occurred. Many of you may remember that I got offline too. I let go of work, and then my online community, and then quit talking on the phone until all that remained was my family in Harpers Ferry – Aaron, Emily (soon to be earthside), me and my mother in law and my birth support team: Shawna, Nannette, Liz, Amy and Shanna and Heather.

Emily’s estimated due date was 9/15. Due dates are just silly. There is a huge window for when a baby may arrive and be full-term, so we weren’t super concerned. I was feeling good and loving being pregnant and knew that if she wasn’t here yet then there was still work I needed to be doing to prepare for her arrival. So I continued to do the work because I knew it was critical to how she would arrive.

Our doula would check in and ask how we were doing. She asked if we wanted to consider acupuncture to help get things moving and that didn’t feel right to me, even though I’m a fan of acupuncture. Emily would arrive when she was ready. The only thing that did feel right was to make love to my husband. I had read how semen does something to help loosen and open up the cervix prior to delivery. This is really beautiful, right? I mean the substance from the baby’s father that creates life also helps the mom’s body prepare itself to bring that life into the world. Really amazing! So week 41, day 2 and within 24 hrs things started moving a little more. My cervix was opening, a little blood was beginning to show and I could tell labor would begin soon.

My sister’s bday is 9/25 (an excellent day to be born) and I was beginning to have more and more practice contractions or Braxton hicks as they are commonly referred to – I was easily able to breathe through them, it was good to practice everything we learned in our Hypnobirthing class. I was doing squats and squats and bouncing on the ball and crawling on all 4s. Well the 25th came and went and then on the 26th (Wednesday afternoon) I had a contraction that made me pray to Mother Mary. I’m not Catholic and I’ve never prayed to Mary before (not really opposed to it or anything) but that day I prayed to Oh Holy Mary Mother of God. So then this realization that the practice contractions were just that, practice. The real deal was bit more intense – just ask Mary – she hadn’t ever heard from me until that moment.

So labor had commenced – early labor I suppose. I had contractions all day. I was breathing and moving and laying down and getting ready. That evening around 7pm we started using the contraction tracker on the iPhone to time the contractions – they seemed to be getting more intense and closer together so we called our doula. Shawna came over around 11pm and settled in. I was having pretty intense back pain with the contractions and it felt good to have either someone push on the small of my back with each one. So Aaron and Shawna took turns pushing on my back with each contraction. Around 2am Shawna suggested we go down to the river and that is where I began this story. We walked down to the confluence of the rivers, not another person around, just me, Aaron, Shawna, and this sweet little babe inside me getting ready to join us. It was a long slow walk to the rivers (but we didn’t have anything else to do). We would stop and someone would push on my back when I had a contraction and then keep walking. We joked, we laughed, we took pictures, and I danced under the moon, by the rivers, barefoot. Incredible!

After some time there we made our way back up the hill to the house, another long walk with many breaks. The contractions didn’t seem to be getting closer together or more intense, they were fairly consistent. We got home and they even seemed to slow a bit, not in intensity but in frequency. At 7am, we called our midwife and asked if she could stop by on her way into the office, she did. We opted to not have a cervical check, so she felt around on the outside and could tell the baby was slightly posterior, not anterior and so all of the labor up to that point was to get the baby in the correct position. She recommended a glass of wine, a hot shower, and to nap in between contractions for the rest of the day. She said she would stop by on her way home that afternoon. At this point, the contractions had gone from 6 minutes a part to between 15-20 minutes apart. So Shawna went home to get some rest. I did as instructed and moved upstairs to nap in between contractions (after my wine spritzer and shower ☺). It was a long day but I was able to get some rest while labor continued. She stopped back by around 5pm and sure enough the baby was in the right position (still no cervical check-didn’t need one). She said we would have a pretty active night and to call her when it was time. Things started to pick up again soon after. I was still having back labor (which sucks!) and so Aaron was so incredible offering his hands, his belly, his body in a variety of ways to offer relief during each single contraction. We called Shawna around 9pm and she came back over. The frequency and intensity continued to increase throughout the evening. Shawna and Aaron would take turns napping while the other offered me support. I had shed all clothes at this point and felt like I needed to shit and I needed to vomit, which Shawna said was a good sign. It was an intense night. Lots of positions, a few showers, walking up the stairs, being completely overwhelmed with some contractions and breathing through others, crying, screaming, moaning, laughing. Dawn arrived and with it a call to Nannette, our midwife. Shawna said it was getting closer to when Emily would be joining us, she could smell it! And then everything really slowed down. I have to admit, it was kind of nice, but then I thought oh wait, why are things slowing down. I was at transition, the last calm before the beautiful chaos of full-on active labor (although all of the prodromal labor seemed really active to me and I’m sure to Aaron and Shawna too). I admit, I was nervous, but Shawna assured me the hardest part was over and this next part wouldn’t take too long. Hmmm.

Okay so Nannette and Shanna arrived around 8am Friday morning or so, the beautiful pause of transition had passed and I was full into active labor with contractions intense and very frequent. I finally felt like a cervical check was okay and I was fully dilated and was told I could push at this point. We had been planning on breathing the baby down, based on our Hypnobirthing classes, so I hadn’t practiced any techniques for pushing at all. Nannette said that it seemed like Emily was getting a tad stuck around the pubic bone and I needed to push. So I started pushing and kept asking, is my uterus okay if I push, you are sure my uterus is okay? they assured me my uterus was okay and it was safe to push. I pushed and pushed, in a variety of positions, upright, on all fours, using counter pressure with a ball and a sheet and a doula. I felt like I wasn’t very good at the pushing part. It was suggested that I rest through some contractions on the toilet for a while. For me, it was hard once I had started pushing to stop, so I kept pushing with each contraction. Aaron whispered in my ear to follow my body and go where it told me to go. I went inside and with the next contraction contorted my body in such a way that I was somewhat tipping sideways off of the toilet and that allowed Emily to get around the pubic bone.

I think we all knew that something finally shifted with that contraction, so I stood up. I could feel something hanging between my legs and it wasn’t a baby. I remember being really confused about what it could be but wasn’t in the frame of mind to ask anyone. Apparently, I had somehow managed to push part of the bag of waters out – it hadn’t actually broken yet. I then moved back to the bed and was side lying with Shawna holding one leg in the air and Aaron on the other side of me. I pushed and pushed some more and everyone kept telling me she was coming, they could see her hair (did I want to see her hair – no, I believe you, I just need to focus on getting her out. Did I want to touch her head – no, I just need to focus on getting her out.). After 5 hours of pushing (if I’m remembering correctly – it was a long time) at close to 2:30pm Emily was born. I remember feeling her head come out and then the rest of her body. She was here! She was placed on my chest immediately. It took a few moments for me to be positioned in such a way so I could actually see her and what she looked like. Oh sweet perfect baby girl. She was here and she was beautiful. And her birth was amazing and so hard.

So at 41+6, Emily Davina Sherwood was born, on the Harvest Moon of 2012 over 40 hours after labor began, with her sweet fist near her face – hence the difficulty in getting her around the pubic bone. So many thanks to our amazing doula Shawna, and our amazing team from Riverside – Nannette and Shanna who attended the birth and Liz and Amy who weren’t at the birth but were part of our care team, Lori our Hypnobirthing instructor, and my MIL Sharon who was providing all kinds of support behind the scenes. And of course, my amazing partner and husband Aaron, who supported every decision I made about the birth and offered incredible emotional and physical support throughout the pregnancy and the birth.

We are so incredibly thankful that Emily chose us to be her parents. She is kind and generous and thoughtful and smart and beautiful. She loves to dance with me and play and sing. She changed my life and she changed me and I am forever grateful she is here and I’m her mama.

emilysherwood

Read the birth story of Emily’s little brother, Winfield, here

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Click HERE to learn more about the Community Birth Stories Project or to submit your own birth story.

Community Birth Story: Cora Maeve (Pt. 2)

Community Birth Story: Cora Maeve (Pt. 2)

(Part 1 here)

As told by Kaylah:

Sunday afternoon, with labor nowhere in sight, I felt that awful performance anxiety return and called Zaina to talk about my options. We discussed sweeping my membranes and the introduction of blue and black cohosh. Since I had the herbs on hand, I began alternating doses of each every 30 minutes.  After 12 hours of puny contractions but no labor, I took a break from the herbs. Monday evening while I was taking the dog out to pee, I felt a trickle of fluid down my thigh and wondered it I was peeing myself. I took a few steps back towards the house and the trickle turned into a warm gush. I practically shouted as I came back inside – “My water broke!” – as if that was evidence of anything at all. It was 9:30pm. I was hopeful that labor would be close behind. Mostly I felt relief. Things are actually going to happen now, I thought. I had begun to believe the rumblings made by the midwives at MCA and spoken by my own mother about my 35 year old uterus on it’s fifth pregnancy being unable to rise to the occasion to get this presumably big baby out. They talked about it in terms of quantifiable risk, but I heard it as a judgement of my body, and by extension, judgment of me. I returned to my affirmations about trusting birth, trusting my body and trusting my baby to be born on her own terms. There is a kind of surrender that is necessary when you really lean into trust, and that surrender is kind of terrifying. But a huge part of me was just done and ready to let go. Okay, baby: your move.

 

I called Zaina with the update and said, “Okay, this is it. No turning back now.”

 

She packed up and made the drive to our house. As we waited for the arrival of the midwife and my labor, we watched a particularly gruesome episode of Game of Thrones. I sat on the birth ball that was draped with a towel and continued to leak fluid, circling my hips and rocking back and forth. Cora_1Because time was now a factor and my contractions were nil, we brought the blue and black cohosh back into rotation. They helped to facilitate some good contractions, but they were irregular and not quite strong enough to kick off real action. Again, I was advised to rest, but my brain totally rejected that suggestion. I remember thinking that this was my last chance, and that maybe the reason why my labor had stopped twice before was because I had fallen asleep on the job. I didn’t recall labor being at all like this from my past experiences . . . something that would start and stop and fool you by disappearing like a slippery fish. Doubt crept back in at the edges of my mind, along with the specific fear that labor was hard work that you have to DO, and obviously I wasn’t doing it right. Practically all night I walked and rocked and moaned and groaned. The next day on precious little sleep I squatted and lunged and walked some more. We practiced every Spinning Babies position and adjustment in the book. We went to lunch at the Orchard to take my mind off of things, during which my contractions completely vanished. As evening drew closer, Zaina came into my bedroom to talk to me about the reality of our window. The 24-hour mark since my water had broken was only a few hours away. If labor didn’t start in earnest by 9:30pm, we needed to discuss the possibility of going to the hospital. My mom’s anxiety at this point was palpable. She kept mentioning the risk of infection and worried about all the things we couldn’t know for sure were okay since we didn’t have a way to constantly monitor the baby at home. Nathan and I confronted this potential outcome of a hospital birth head on. Details like: packing a hospital bag, who would come, who would stay behind. Nathan admitted he had already packed a bag earlier in the day, sensing this inevitability. The admission depressed me.

 

He joked to lighten the mood, “Well we’ve eaten all of our birth snacks so obviously we need to go buy more.  Plus, I have prescriptions waiting at the Target pharmacy that I forgot to pick up…so we should run a quick errand to knock those things out.”

 

I looked at him and sighed. “Fuck it. I’m not in labor. Let’s go.”

 

On the drive to Target I had one tepid contraction. In the store I wandered aisles aimlessly in a fog of resignation. I felt like it was as good a place as any to hide from the ticking clock. As I met up with Nathan near the office supplies, I was suddenly slammed with an intense contraction that almost brought me to my knees. I cried out in surprise and grabbed the nearest shelf to lean on as I rode it out.  While we were in the check-out line I had another big one. Fellow customers were either steering clear of me or stepping up to offer assistance. All of the sudden it felt like a terrible place to hang out. We paid and made it to the car before the next one hit. After that, I was back in a pattern of contractions – every 2-3 minutes – kind of kicking my ass in the passenger seat.  Nathan tried to drive through Chik-fil-a for a milkshake and I moaned low and loud as he ordered. I wanted to go home but instead Nathan suggested we drive to Starbucks. He claimed he needed caffeine to fortify for the night of labor ahead of us, but what he was doing was stalling for time. He had made the connection between my labor picking up steam away from home and totally stalling out whenever we returned. His private plan was to keep me away from the house until the baby was practically crowning. I stayed in the parked car while he ran in for coffee. What I didn’t know then was that he was also calling Zaina and instructing our team to, once again, fill the birth pool. It was 8pm. I begged him to take me home. I was beginning to suspect back labor from the intensity of pain in my sacrum and I needed to change positions immediately. We pulled up to the house and didn’t even make it from car to front door before I had another violent contraction. After it subsided I went inside and up to my bedroom and tried to avoid making eye contact with anyone who looked at me. I rocked around on hands and knees, slung over the birth ball.Ten whole minutes went by without a contraction. I felt myself sinking inside. Zaina listened to the baby, who was still doing great, and I meekly asked if I could get in the pool. At that point I was exisiting in a world suspended between prayer and wishful thinking. If only I can get into that birth pool, I’ll be able to give birth, I thought.  I don’t remember whose idea it was to check me. It may have been mine. 3-4 cm. No change from the last time I was checked a week earlier. Tears slid quietly down my face and my chest heaved with emotion. Zaina came to sit close to my head where I lay. She lovingly told me that it was her honest opinion that my labor needed a bit of help, that she had consulted with another midwife and felt that she had exhausted her ability to help me progress beyond the point we were standing in. I nodded, fully understanding the truth of her statement and simultaneously not wanting it to be true.  I took a moment for myself and then got up to pack the rest of my hospital bag. As I made my way to the bottom of the staircase, my mom turned her phone screen towards me so I could read a text sent from one of her best friends, a woman who is like another mama to me. It read:

 

“May the Lord hold you in the palm of His hand.”

 

I felt broken open by the words and wept in my mother’s arms, grieving the home birth, the end of the pregnancy and the illusion of control that is such a tricky master. I was wrung out, utterly exhausted and deeply disappointed as we pulled out of the driveway for the short drive to the hospital. I cried hot tears in the parking lot, but by the time I walked through the Emergency Room doors I had internally shifted from sadness to acceptance. I felt determined to greet my baby with grace and full presence. She was making her terms known and we were in it together. And I still had work to do.

 

We settled into a labor and delivery room and the nurses tethered me to a bunch of machines for a period of initial monitoring. I made my mom promise to stick to the story that my water had broken earlier that day, not the night before, so I’d at least have a shot at a vaginal delivery. The midwife on call that night was Karen. I liked her no-nonsense manner that was knowledgable and steady. She embodied a kind of tenderness that night that I had not previously encountered in prenatal appointments. The monitoring showed contractions that were irregular and not nearly strong enough to be doing much of anything (obviously). When she checked me she thought I was sitting between 2-3 cm and my baby was posterior. We talked labor augmentation. To her professional credit, she had read my birth plan that requested no unnecessary interventions, and offered first and foremost to bring in a double breast pump for 30 minute intervals of nipple stimulation. The alternative was a dose of cytotec to stimulate contractions, in the hopes that it would be enough to jump start labor. The cytotec would take a few hours to kick in. As I considered my options I felt the exhaustion from the last 36 hours weighing heavily. The idea of taking a nap while waiting for meds to work was far more appealing in that moment than hours of breast pumping to reach the same end. We talked risks, benefits and considered doing nothing, but I wanted more than anything to avoid the use of pitocin if at all possible. I understood that when the overseeing OB returned in the morning, if I wasn’t in labor, pitocin would be the next course of action. I chose the cytotec and promptly passed out. Two hours later I awoke to back labor. Excruciating back labor. It was enough at the start of the contractions for Nathan to provide counter pressure on my sacrum while I was laying down, but it wasn’t long before I couldn’t stand to be in the bed. We walked the halls and continued our dance of swaying, kissing, moaning, and counter pressure. Back in the room I sat on the ball and draped my body over the ball and lunged and leaned on the bed and sat on the toilet. No position brought relief. My body tensed tightly against the pain and barely unraveled at all in the breaks. Karen tended to me while I was in the bathroom. I was trying to pee between contractions with very little success. This went on for hours. After an especially long and brutal back contraction, I asked if it was too early or too late to discuss pain management. Karen said we could discuss it at any time and offered to check me to assess how far things had progressed since our arrival. I reluctantly agreed, thinking I just might be able to hang on if I was close to transition. Nothing had changed at all. It was looking increasingly likely that pitocin would be needed to avoid a c-section. I weighed the risks and benefits of an epidural. Since pitocin was likely to intensify things considerably and I was already in a place of coping poorly and utterly exhausted, it seemed like the benefit of the break it would provide was worth the associated risks. I made the decision with a clear head and felt supported by all involved. The anesthesiologist worked fast, his manner just the right amount of witty, humorous and compassionate. The relief flooded my low back first and I felt my whole body relax. I curled into myself to rest just as the sun was rising.

 

The next few hours, devoid of sensation but punctuated by moments of excitement, blur together in my memory. When the OB arrived pitocin was administered to help my contractions. Nathan and I dozed on and off and my mom texted updates to concerned friends and family. In a moment of relative quiet in the room, a subtle change in the background beeping of the machines caused my mom to leap off the couch in alarm. She firmly commanded me to get on hands and knees immediately – the urgency in her voice made me move quickly!  Almost before I was on all fours she had rounded the bed, grabbed the oxygen mask and was moving it towards my face. Just then a team of nurses rushed in and again the beeping in the background returned. My baby’s heart rate had taken a major nose dive but bounced back up after I changed position. This happened several more times and the constant changing of position was causing me to become tangled in the monitor straps. Karen was present during once such dramatic deceleration that forced a very quick chain of reactions that I had no time or desire to object to – my bag of waters was re-broken and an electrode attached to my baby’s scalp to more accurately monitor her heart rate.  An oxygen mask was put to my face to help my baby rebound. At that time Karen said I had dilated to 8 cm – 8!!

 

I looked at Nathan with wide eyes and said from behind the mask, “Call Lindsey!”

 

Karen was concerned about the heart rate decels and she knew that the overseeing OB was going to push for a c-section. My mom (who was really trying very hard to resist wearing the L&D nurse hat, but with 20 years experience, couldn’t help but see the situation through those eyes) noticed and repeated out loud that even though the heart rate drops were problematic, the way that it jumped right back up to normal after a position change was a sign that my baby was tolerating them well and that she had plenty of steam left. When I got to 9cm, Karen asked me to push a bit while she helped to move that last little lip of cervix out of the way with her fingers. My baby was still posterior and, Karen suspected, asynclitic – sunny side up and cockeyed. I gave three mighty pushes and it was announced that I was 10 cm. The activity in the dim room instantly quadrupled. A spot light beamed down from on high, the bed transformed for delivery, nurses were moving in and out of the room in my peripheral vision. A new nurse, a young blonde woman who I hadn’t really registered before, was at my side helping to hold up one of my thighs and guiding me towards the moment to push. The epidural had been turned down but I still wasn’t feeling an urge to push so she would tell me when. The oxygen was turned up full blast and created a kind of white noise near my ears that muffled all other sound in the room. It momentarily disoriented me and my pushes were weak and uncoordinated because of it. Karen was speaking to me and I couldn’t hear her so I ripped the mask off of my face and asked her to repeat herself.

 

She said in a very measured manner, “I think you are a good candidate for a vacuum assisted delivery. Your uterus is tired and your pushes aren’t strong enough to bring your baby down.”

 

I sat up and replied, “I’d like to try other positions first. I’d like to squat. I’ve only pushed six times on my back and that feels totally unproductive to me.”

 

Before Karen could argue or even answer, that young blonde nurse had fetched the squat bar and was fitting it to the bed. She was my champion. I was starting to feel more of the sensations in my body and as the next contraction mounted, I hopped up on my feet with help and dropped into a deep squat.

Cora_3

I was happy to see Lindsey enter the room out of the corner of my eye, but she practically became part of the wallpaper pattern, so unobtrusive was her presence. Three strong pushes in the squatting position made me feel capable and determined again. I took sips of oxygen, but didn’t want the distraction of it on my face constantly. Baby’s heart rate took another dive and Karen left the room. The nurse and my mom helped me back onto my side and I felt the urge to push take over.  With the next pushing contraction they had me on my back, and the next one on my other side. I immersed myself in the sensation and mission of bringing baby down and out. She wasn’t rotating the way babies usually do, so I did the rotating to help free up space in my pelvis for her to move. A push on my left side, a push on my back, a push on my right side. Nathan’s voice next to me raised to an emotional pitch and he joyfully assured me she was coming. Just then Karen walked in with the overseeing OB who was there to inform me my time was up. I didn’t know it at the time, but they had already prepped the OR for me. The mere sight of them filled me with a mama bear-like surge of adrenaline that helped me to sit up and push my baby to crowning. I was surrounded on all sides by love and encouragement. My mom, the beautiful nurse, my husband, my best friend and in the background capturing every dramatic, primal moment – was Lindsey.  The next push brought my fierce, stubborn baby girl – blinking and spitting blood at the sky – into the world. She practically surfed out of my body on a wave of blood and fluid.  With help I ripped off my gown and as she was lifted to my hands I brought her right onto my bare chest for the briefest of minutes. She sputtered and squirmed, wearing an expression of shock and disapproval. I couldn’t believe how big her presence was right out of the gate. It felt like I had just given birth to a toddler. After that minute, Victoria was given scissors to cut the cord and our baby was taken to a nearby table to be checked and assessed. Nathan followed her and wept.

Cora_4

I heard his voice yell out to me, “Kaylah, she’s perfect!”  And through tears, “Her feet are fine! She is absolutely perfect.”

Cora_5

Her squawk was angry.  She didn’t sound meek or mewing the way most newborns sound to me. She sounded strong and loud and pissed off! I looked over at her, feeling proud and relieved. My placenta came quickly. The volume of blood during delivery pointed to the likelihood that it had already begun to detach. Karen was amazed to find I hadn’t torn at all.  After the assessment, our sweet girl was wrapped into a blanket burrito, topped with the tiniest of hats and returned to me. I had my gown down around my deflated belly and as I took her into my arms she rolled right into me with her mouth wide open.  She latched instantly on my breast as though it was exactly what she was expecting would happen next. I laughed out loud in disbelief, amazement and delight. I marveled that this little baby had so thoroughly dismantled my birth plan – line by line – like she was proving the point that birth isn’t something you can plan or control, even with the best of intentions and efforts. I had wanted to avoid the hospital and that scheduled induction at 42 weeks at all costs – in fact I’d done everything in my power to prevent that outcome. Yet in the end my baby was born right at 42 weeks, ironically on the date of my scheduled induction, in the hospital with the help of pitocin and epidural. It’s funny how the universe sometimes dishes up exactly the thing you are avoiding so as to offer yet another opportunity for growth and healing. The experience of bringing her into the world has humbled me beyond measure and taught me more about myself than the last 10 years of therapy combined. I am grateful for the healing of old wounds made possible by being treated with dignity and respect during my labor and supported in my efforts at making informed choices and giving informed consent. She is the last baby that I will birth with my body.

Cora_6

Cora Maeve McCourtney

Labor began 5/24/14

Born into this world 6/4/14, 2:21pm

9 lbs 1 oz – 21 inches
You are the pink glue that will forever bond our blended family of six. As the seventh member, you belongs to all of us.

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Click HERE to learn more about the Community Birth Stories Project or to submit your own birth story.