"Everyone say your name and what you trust about birth."
This was the get-to-know-you instruction from our teacher at the semi-crunchy birthing class Dan and I took last year. What do YOU trust about birth? I didn't have a great answer. I think I said something along the lines of, "I trust that it will happen."
Which it did. So that's something.
Through the course of my pregnancy, I went from all about the epidural ("Why
would I
choose pain?") to a decidedly more earth-mother approach. I switched from an OB-GYN to a midwifery practice, and planned to deliver at a hospital that offers birthing tubs. Hypnobirthing affirmations soothed me to sleep from week 32 of pregnancy on. I wrote out a detailed, bitchy birth plan that included bullets like, "No Pitocin without my consent" and "A shift change is not an acceptable reason for an episiotomy" and then a much shorter, cheerier version that could actually be shown to a nurse. I didn't know if I would actually make it through labor without pain medications, but I felt good about my chances. "I will be a warrior woman!" may have flitted through my brain. Dan was on board, and my care providers were all about it. The only warm body against going through labor, as it turned out, was my own.
Five days after my due date, an ultrasound showed very low amniotic fluid and the umbilical cord wrapped around our baby's neck. "We don't take chances," my midwife said, and sent me to the hospital to get induced. I was un-thrilled about this development, as my first night nurse learned when she found me sobbing in the hospital bed. I have a couple of friends who've been induced, and almost all of their stories involve thirty-six hours of labor with threats of a C-section. "I'm worried that with the Pitocin it'll be even more painful, and that I won't be able to have an unmedicated birth, and one thing will lead to another," I told the nurse. "Oh, don't worry!" she replied. "It would be just painful without the Pitocin! It's really painful no matter what." I found this oddly comforting.
When you get induced, you go to the hospital in the evening and get some icky stuff done to thin ("ripen") the cervix. Then you start an IV drip of Pitocin the next morning. Pitocin is a pharmaceutical version of the hormone that kickstarts labor. I think inductions are harder because the contractions come on much more quickly - you don't have hours of early labor to get you in the zone. I
think, because how would I know? Dan and I watched
Her in my hospital room, and then it was time to sleep. I took an Ambien, completely freaked Dan out with some Ambien-induced hallucinations, listened to my Hypnolady, and went to bed. At one point, the baby's heart rate dropped and seven doctors ran into my room. I was so loopy from the Ambien that I barely noticed. Don't believe me? Once everything was fine and they'd all left,
I took a selfie.
The next morning, the nurses started Pitocin, and I waited for the ride to begin.
And waited.
And waited.
In between waiting, my family came over. We listened to
Serial, watched
New Girl, and wandered the hallways until I got in trouble for going out of my fetal monitor's wireless range. We laughed as I ate French fries and bounced on a ball. It was fun! We watched my contraction monitor as it charted the ups and downs of my uterus - I was having contractions, but didn't feel anything. At one point I told the nurse my pain level was at a three, and then confessed to my family that it was more like a one.
"I could tell you were lying," my mom said.
That was day one.
Day two was similar - we went through a full course of Pitocin to no avail. The midwife suggested breaking my water, which made me nervous. Once your water's been broken, you have to give birth within the next I-don't-know-how-many hours because of infection risks. I was concerned that if this didn't kickstart labor, we'd pass that deadline and I would end up with a C-section.
"What if it doesn't work?" I asked. She replied that it would.
It didn't.
Day two: a
Modern Family marathon. At this point I began to realize that I would likely end up in surgery. I lost my shit.
"I knew this would happen!" I said. "As soon as I heard 'induction,' I knew this would happen!"
"Nothing's happened yet," my midwife said. "Don't go into fight-or-flight - if you're highly stressed, you definitely aren't going to go into labor." We decided that we would try one more course of Pitocin overnight - my nurse came in and dialed it up every half hour on the dot, and they got permission to turn it up to levels not usually allowed by the hospital. I felt hopeful.
But, nothing.
Day three: my new midwife came in, assessed the situation, and laid it on me. "This baby's not coming out vaginally," she said. "It's physiological. You need a C-section."
I was not pleased.
"Don't cry!" she said. "You're having your baby!"
Once you decide ("decide") to have a C-section, things move quickly. I was pretty firm about needing an hour to shower and get my head around the situation, but I'm pretty sure that if I hadn't been, I would have been on that table in ten minutes.
"I hear we're having a C-section!" the anesthesiologist said when he came in. "She's having a
baby," the midwife corrected. I appreciated that, despite the fact that such corrections are futile. No one will ever refer to your C-section as anything having to do with birth. Sometimes they even shorten it to "section," which makes me feel like a piece of tuna. "When was your section?" "I was waiting to be sectioned." "That should've been a section."
I felt totally disconnected, and in a little bit of denial. I called my parents to let them know what was happening, and when my mom said, "It's ok Meghan, you get to meet him today!," I distinctly remember tossing my phone on the bed and saying, "Whatever."
For this, I blame the birthers. The people who blog about how their natural birth its what made them a real woman, or who scoff that anyone who got a C-section just gave in to the Establishment. People judge. And I know, because I WAS one of these people! I was one of those smug, serene, "my-body-knows-what-to-do"-thinking jerks. I had no idea. If you take only one thing from this post, it's this: no matter how much you prepare, you could end up giving birth via C-section, and because of this possibility,
DO NOT READ BIRTHING FROM WITHIN. Ok, glad we cleared that up.
It was time for surgery. Can't you see how excited we were?
That's my "This was not the plan" face. Anyway, this post is getting long so I'll pick it up with Part Two: In Which The Baby Cometh, and I Wear Weird Socks. Also, I know this is ending on kind of a downer note, but never fear. I'm okay with the C-section now, and our little cherub was very much worth it.