As I sit here with a sleeping, chubby, two-month-old boy in my arms, I feel I may finally be ready to put our birth story into words. I have waited so long because the memory of it has been too raw, too fresh, too intense before now. It was so much more, and yet so much less, than I had hoped for.
As many of you know, we planned to give birth at home. It is controversial and everyone has an opinion on home birth, but we did our research and felt it was the best option for our family. I can cite research later if you are dying to know why it is better than hospital birth for healthy women. It is something I have always felt passionate about, which is why we hired a midwife as soon as we found out we were pregnant. My midwife is amazing - we have such a strong bond now that we even say "I love you" before we hang up the phone. Every woman needs a midwife! Okay, back to the story.
After 5 weeks of contractions, my water broke. We were excited because this speeds up labor for most women. We figured that the birth would be well on its way given that I had had contractions for so long up to that point. After 24 hours with no improvement in the contractions, we discussed the possibility of infection. We decided that we would check in to the hospital if the contractions did not pick up after 48 hours. After trying every trick in the book to get them going (even drinking castor oil!), my contractions were no further along 48 hours after my water broke. Our midwife came over, we packed the car, my mom picked up J.J., and we headed to the hospital. At this point, I felt that we were making the right decision, and I was more excited about the reality of Quinn's impending birth than I was sad about losing the home birth.
We checked into the hospital at 11am. We knew that they would start me on Pitocin if I was not far along in dilation. I was at 3cm, not far enough along to go it alone. After two failed attempts, they finally got the IV started. With big blood bruises on my arm, we waited for the pitocin to kick in. We were excited - this was really happening! We were having a baby! The contractions started to pick up and I was passing what seemed to me to be a lot of blood. Very quickly the contractions got intense and close together - far worse than anything I had experienced before. After an hour or two, I had dilated to 5cm. The contractions got so intense and painful that they began to resemble the pattern that occurs during transition in a natural labor - the worst part of labor, when some women say that they want to die. It was agonizing. The contractions would spike, barely decrease, then go up another 15 seconds later. They called this pattern "camel-backing", because several contractions would come in a row without a break. This is not the pattern that natural labor takes. Even at its worst, there are breaks of around a minute during natural labor. Jonathan and Kim did everything to ease the pain, but it was unbearable. Kim asked if I could wait it out until the next cervical check, and if I was at 8 or 9cm, I said I could make it naturally. They checked me after another hour - 5.5cm. I knew then that I couldn't bear it without help. Pitocin is the drug from hell - ask any woman who has had it. My midwife later told me that she has never had a patient - in 35 years of practice - who was able to give birth on pitocin without pain relief. I desperately begged for pain relief, despite my strong convictions to never use it. This was a moment of desperation and shame for me. I knew I needed it, because I honestly thought death sounded preferable to the pain I was in. But to hunch over and get a needle in the back felt like defeat to me. I would no longer be in control of my birth - birth was happening to me, rather than me actively giving birth to my child.
Despite my shame, the epidural was a tremendous relief. I could still feel the contractions, but the pain was largely gone. I was able to feel the joy again of what was happening. Jonathan and I spent the next 10 hours together, watching the monitor and waiting for the urge to push. After 14 hours of labor, it was time to push - 1:30am. I was so excited to push because it felt like I was finally going to be able to DO something to bring my baby into the world. I wanted to lay on my side rather than my back because it felt like I had more power that way. Jonathan got behind me, wrapped his arms around my back and right leg, and whispered into my ear each time I had to push. We were doing it together and it was an incredible experience for us as a couple. Though I was only 8cm dilated, Quinn had descended further into the canal, so the doctor recommended that I push a little to get to 10cm. I later found out that I was very close to needing a c-section because Quinn was coming out faster than my body could allow. After an hour of pushing, the nurse apologized and said she thought it would be another hour. I said, "That's okay, I like this game!" She thought that was hilarious. But I loved pushing. I felt so powerful, so energized. Once Quinn's little head was visible, the doctors came in and brought a large mirror for us so we could see what was happening. We watched him crown, and I cried when I reached down and could feel the hair on his head. Jonathan and I watched as I pushed his head out, and in one more push, his body slid out. Our baby was born!
This is the part that wrenches my heart and has made it so hard to write about. I have done a lot of research on early cord clamping and had decided that I wanted them to allow the cord to stop pulsating before cutting it, to allow the baby to receive all of his blood. Unfortunately, the hospital is antiquated and has a policy that the only way they allow the cord to pulse is to keep the baby below the uterus, out of the mother's arms. This is not evidence-based, and despite arguing with them, they held firm to this policy. I had decided earlier in the evening that I would forgo holding him to allow the cord to finish pulsing. While pushing however, the doctors asked if I would like to go ahead and cut the cord and hold him if he was pink and vigorous. In a moment of fuzzy-headed excitement to hold my baby (and exhaustion), I said yes. I will always regret this. After Quinn was born, they cut the cord and handed him to me. It was the most beautiful moment of my life. I felt as if I was the one who was being re-born. I held him to me and cried as Jonathan leaned in close and cried with me. Quinn was crying - what a beautiful sound! I was instantly in love.
Moments later, Quinn went pale and stopped crying. Before I knew what was happening, they took him away. Jonathan followed them into a room connected to our room, filled with medical staff. They said they had to start an IV and were worried about infection due to the time my membranes were ruptured before birth. This was the hardest time of my life. I hadn't even gotten to look at my son, count his fingers and toes, or put him to the breast before they took him away. I was terrified - I couldn't see or hear what was happening, but I knew he wasn't crying. I couldn't be with him because I had to deliver the placenta and they wouldn't let me out of bed because of the epidural. I sobbed. An hour went by and the doctor gave me a couple of updates. They tried 10 times to start an IV - in his little head, hands, and feet - but they all failed. They were calling in a neonatal anesthesiologist. Jonathan was kicked out of the room. For another hour we waited without word as to what was going on with our son. They told us we couldn't see him because we weren't sanitary - though the other 14 people in the small room were. Apparently hand sanitizer only works on medical professionals, not parents. Finally, Jonathan insisted on finding out what was going on (after I had been crying and cussing for some time). They had to sew the IV into his umbilical cord and were waiting to decide if he needed to go to the NICU for observation. I was told that I wouldn't even get to see or hold him if he was taken. Thankfully, Quinn pinked up very quickly after receiving the IV fluids, confirming that there was nothing wrong with him and would have been fine had he been allowed to receive all of his blood from the placenta. I was finally able to hold him two hours after his birth. He latched onto the breast the moment he was placed in my arms, and he hasn't left since! We stayed at the hospital for 48 hours because they were worried about infection. Neither of us had an infection, and Quinn was perfectly healthy.
Perhaps it is due to the most precious two hours I missed, or perhaps it is just the type of mom I am, but I have not wanted to put this boy down since the moment he was placed in my arms. I love him more than life itself and want nothing more than to be with him. We are incredibly close, despite the rough start. Though I will probably never forgive myself for saying yes when I knew better than to let them cut the cord, I hope that I will one day be able to view our birth story as something beautiful. It is beautiful if for no other reason that it was the birth of my beautiful son and the birth of our family.