CAUTION
Wednesday, November 17, 2010
Kevin's Home!
Tuesday, November 2, 2010
At Peace
I always hesitate to say that I have found the reason why anything I do not desire occurs despite all of my fervent and faithful prayers to the contrary. I actually cringe when I hear anyone say they have found the reason for their trial (whatever it is) because there are so many levels on which the Lord can teach us from any thing, and so many ways he can continually use even the most unpleasant circumstances for good.
This being said, I still really wanted to know why. If not the reason, then just some reason. As long as I could have some thing that I could look at and say, "It's actually very good, or fortunate that I am not pregnant because now X." I have found something, and it is enough for me.
Spurred on by a notice I recieved in the mail from my health insurance complany several weeks ago, informing me that at the beginning of the year my fabulous plan (which is an individual plan--we've never had employer-sponsored health insurance, and we've always paid for it out of pocket, thank you very much) would be discontinued at the end of the year and I would have to switch to a different policy that my insurance company now offered (No Thank You, Obamacare), I was galvinized into pursuing a resolution to the Carpel Tunnel symptoms I have been increasingly experiencing for the last several years. As it has come out, I will be able to have the surgery on both hands done by the end of November--just before Kevin gets home--which means I will be able to undergo surgery and whatever attendant recovery proceedures without any concern that I am or might be pregnant. That's huge! and wonderful!
And so I am at peace with my un-impending new motherhood.
For now.
Sunday, August 29, 2010
The Story of Rhys--The Set-Up
The baby was due in the end of January, so we determined to travel to Utah right after New Years and stay with various relatives and friends as we waited for and welcomed our new baby. My husband’s work being what it is (away from home for a couple of weeks or a couple of months at a time and then home with no work at all for about the same), we simply requested the months of January and February off. It worked out really well, because winter is the slow season in his field, anyway.
The midwife we had chosen lives in Spanish Fork, UT. The relatives we were going to stay with live in Stansbury Park and Sandy, 90 minutes and 60 minutes from Spanish Fork, respectively. We decided to actually birth the baby at the home of the friend who had already had a homebirth and who had put me in touch with the midwife in the first place. The reason for this decision was very simple—she had invited us. It is a very awkward situation to try to figure out who you can go to and ask, “Can I have my baby at your house?”
Though I love my sister dearly, I have never been close to her before, due to the logistics of age and distance—she is about 16 years older and has lived in a different state for most of my life. Her husband is also a very reserved person, so I have know him even less well. I really had no idea how they would react to the suggestion. Looking back on it now, it doesn’t seem that awkward anymore, but that may be due largely to how much better acquainted and more comfortable I have been with them since staying with them for several weeks and also the fact that I am not a raging torrent of pregnancy hormones right now (at least, I have no physical proof that I am. That doesn’t stop my mind from finding every possible reason to believe I am, but I’m not allowed to acknowledge that).
I think I would have felt comfortable asking my mom if I could have the baby at her house, but I didn’t think it would go over so well with the condominium board of their retirement complex.
My friend, however, probably didn’t know what she was getting herself into when I called her up to ask about midwives in the area and she said, “You should come have your baby at my house!” because she was also pregnant—and due the day before I was, in addition to having a nearly 2-year-old of their own in a house too small for them already. However, it was an offer, and I called her up to make sure she was serious. She was, and so generous, and so we headed to Utah. After we got there, however, another friend of ours who lived in Salt Lake City offered to let us come to their house to have the baby because they had more room (we could have the whole downstairs to ourselves!) and although she was also pregnant, she wasn’t due for 2 more months. We discussed it and prayed about it, and took the offer. Though it was further from our midwife, it was closer to where we were staying, and I was very glad to remove the burden from our friend with so much less space and so very pregnant herself who probably really didn’t know what she was doing when she invited us to come.
The Story of Rhys--The Build-Up
The midwife, at our first meeting, lent me a book (which I very highly recommend) entitled Birthing from Within. Like Ina Mae’s Guide to Childbirth that I read when expecting my daughter, it is also very empowering, but went beyond “natural childbirth is a wonderful and awesome and doable thing” to actually walking you through ways you can prepare yourself, mentally and psychologically, because when it comes down to it, there’s not much you can do to prepare physically. It suggested ways to explore and discover what you really think and believe about childbirth and to work through and get over anxieties or hang-ups that you may have. One thing that the author said that I had never thought about before was that the mothers who absolutely do not worry at all are the most likely to have problems. She said that that was her at her own first birthing experience, and that things ended up going horribly for her, at least emotionally, and I realized that that was me, as well. I had been so calmly confident before my daughter’s birth that I hadn’t seriously thought through divergent scenarios, especially not that it may eventually end with a C-section. Consequently, when something didn’t go exactly as I had envisioned it, I was left with nothing to guide myself or my choices, so the choices that were made were not necessarily the best. I realized that while I had changed the circumstances under which I was going to birth this time, I still had not done anything to prepare myself for the possibilities that still existed for this birth.
I think the biggest reality that I finally acknowledged was that it might get to a point that I couldn’t handle it. That probably sounds really dumb. Of course it would get to a point where I couldn’t handle it. Isn’t that a given with childbirth? But I clung so firmly to the memory that I didn’t start to have trouble with the pain of labor while I was birthing my daughter until after they told me it wasn’t working. I was absolutely certain that it was the despair that made the pain unbearable. I finally made myself face the possibility that the pain might actually just get to be that bad—so bad that I wanted to cry and run away and stop being relaxed. I had to decide what I would do if—when—it got to that point. It probably doesn’t seem like much, but it was very powerful to me to make the decision that even when all of my techniques stopped “working” and the pain was more than I thought I could bear, that I would just keep going anyway. I was able to face the eventuality that it would hurt as bad as it had with my daughter, and worse, and that was OK, and I would keep doing it. I actually built a beautiful little image in my mind of Heavenly Father sitting behind me with his arms wrapped around me and me so exhausted I couldn’t go on, leaning back into him and his hands pushing through me to get the baby out.
I really didn’t know what to expect by way of timing. I was geared up for a long wait with my first pregnancy, and I went into labor on my due date. I still vaguely expected a long wait with this one, or at least I wanted to be psychologically prepared for one so I wouldn’t get too anxious if he was later than his due date. We hadn’t been in Utah a week, and were still more than 2 weeks before his due date when one Saturday morning I was sitting at the computer and was suddenly seized by a very intense, nearly painful contraction. It was so unexpected that it took my breath away. It was a bit shocking, because, as I explained in the story of my first birth, I never noticed before a difference between Braxton Hicks-pre-labor contractions and the real thing when I was in labor. The labor contractions got more intense than the pre-labor ever did, but it was a perfect continuum of progression. There was never a point when I “knew” that they were the real thing, as opposed to all those “false” ones I had before. However, this time, I knew. This was the real thing. One difference was that the Braxton-Hicks contractions I had felt all along (just like the early labor contractions the first time) were almost entirely in the front, and started at the top. This one went all the way around the middle and dug little fingers of discomfort into my lower back.
However, there was only one. I noted the time, but no more came that day. The next day, while sitting in Relief Society at church, I had another one, all of a sudden. This was followed by another, about 20 minutes later. It is very difficult to concentrate on the lesson when you are trying to listen to your body and are getting excited about a new baby coming, possibly right now. But they also stopped. I spent the next two weeks like that—two or three very intense contractions in a row every day or two, but they always stopped. I wouldn’t have minded so much except that they were so tiring. If I was having the baby, I would have been OK with putting everything else aside and just concentrating on this birth, but as it was, life was going on and I had a 2 year old to take care of.
With my first pregnancy, my 3rd trimester was my most comfortable one. I felt slightly nauseated during the entire first trimester, and the second was dominated by my inability to find a good position to sleep in, so my hips ached constantly. By the third trimester, my body had sort of grown into itself, and I was sleeping just fine again. I wasn’t overly tired, I didn’t ache or swell, I wasn’t too hot (it was Winter), and I enjoyed eating. I was doing great! So I couldn’t empathize with women who were so “done” by the end of their 7th or 8th month that they would beg to be induced early.
But this time was different. I was getting worn out. I knew that if I had to live like this for more than a week or two, I might seriously reconsider my position against elective inductions. I didn’t really think that I would opt for one myself, but I felt a lot less self righteous about people who did.
The Story of Rhys--The Beginning
On the Friday 5 days before my due date my family was having a get-together about 3 hours away for my 95 year-old grandfather’s birthday. I wanted to go, but was a little leery of spending the night so far away from my midwife. I prayed really hard that if anything was going to be wrong, I would be prompted not to go. With how slowly my first labor progressed, I was pretty sure I would have at least 3 hours warning before the baby was born this time, so we decided to go and come back early the next morning. We wanted to stay until the evening, when the birthday party was going to be, but we figured the less time spent away from the midwife the better, and there was also a “comfort measures” birth class the Saturday that I really wanted my husband to go to with me.
Saturday morning we had just gotten in the car (around 7:00 am) to drive back when I started having contractions. They were not as intense as the first one I had had more than a week earlier, but they were definitely not Braxton-Hicks. They kept coming every 4-7 minutes, and as I had nothing better to do on this ride, I keep meticulous notes. As meticulous as I was, however, I wasn’t necessarily accurate, because I didn’t have a second hand to consult, only the minutes on the digital clock.
We went straight to the house of another midwife where the birth class was being held. It was interesting and informative, but I was extremely distracted, and secretly feeling smug as I noted and breathed deeply through each contraction, about every 5 minutes throughout the entire meeting. At the end of the meeting, around 2:30 pm, I had already scheduled a regular appointment with my midwife, which we had there at the other midwife’s house. I had been trying to manage my mounting excitement but secretly growing ever more confident that this would be the day, maybe only an hour or two away to a new baby! So I was very disappointed when the midwife found I was only 1 cm. dilated and that, though close together, the contractions themselves weren’t long enough to signify imminent birth or even expeditious progress. However they were consistent and they weren’t going away, so it looked we were definitely on our way.
I was sent home with the instruction to keep an eye on things and call the midwife when they got to be 45 seconds long. I told myself that was OK, since I wasn’t actually ready yet. I didn’t have anything packed up to take to the house where the baby would be born, there were still some grocery things I wanted to get, and, Oh no! I just remembered I still didn’t have anything to wear during labor. I had been planning all along to get some big nightshirts or something, because nothing I had already would keep me cool and covered. It was early afternoon as we headed home (to my mom’s condo) and I knew my toddler needed a nap, which meant someone had to be home with her. My parents weren’t back from grandad’s yet and I knew I couldn’t just send my husband out to get the things I needed, because he couldn’t try on night shirts for me and I didn’t want to have to justify to him why I wanted cranberry juice and Twix bars and yogurt and pineapple juice and granola. Besides, he was pretty tired from our late night and early morning, and who knew when he would get to sleep next.
The Story of Rhys--The Stupidity
I knew my way to the mall and to the grocery store, but I didn’t know much more than that about the city I was in. I thought I remembered passing a thrift store at some point, so I first drove up and down most of the streets between where I was and the freeway—every place I had driven before. I had no luck, but it ended me right by the mall, so I went in to check what was there. By the time I finished scanning every department store in the mall, utterly failing to find anything that would suit my needs, I was walking very quickly and pausing about every 20 steps to lean over and breathe through a contraction. In this manner I made it to the information desk, where I employed the phone book there to locate the only thrift store in the city—no where near where I had been looking. I made my hurried and halting way back to the car and took off again. At the thrift store I pawed through the racks of sleepwear, certain there had to be something to meet my needs—knee length, short sleeved, knit material, with several inches of buttons down the front. I finally found one that fit the description, but I was extremely turned off by the fact that it was designed to look like a baseball jersey. Not being even remotely close to any sort of ball fan, I started to put it back when I noticed the name scrawled across the front and suddenly my whole opinion of the shirt changed. It just said “Home Team,” and I knew I had found the perfect shirt to welcome my home-birthed baby into the world. I kept looking and found 2 more that were OK and purchased them along with an impulse grab of the original Land Before Time movie, even though we already have a copy, I just like it so much better than even the idea of any of the ones that come after, I just wanted to be sure it found a good home. It made perfect sense in my befuddled labor brain.
Just across the street from the thrift store was a dollar store, whither I went to find a cheap watch to time the contractions. I also got several packages of cheap candy and a doll outfit that looked like it would just fit my daughter’s hand-me-down dolly that currently only had a shirt. By this time I wasn’t just standing still and breathing hard during the contractions, but was losing focus on what was going on around me. But I climbed back into the car and drove myself to the grocery store. I ran in and did what I usually do—convince myself that it is just going to be really quick and I only have a few items so I only need a hand basket, not a whole cart. This was double dunce of me because carrying anything during contractions is stupid, but I also forgot to note that the first thing I was putting in my basket was 3 quarts (6 lbs) of juice. It only got heavier from there. By the time I finished, the basket was overflowing and I had to stop and set it down every few steps to breath heavy, lean forward and concentrate through a contraction. At the check-out counter I let them load it all into a cart for me to take out to the car. I even let someone help me take it out and load it in. By this time the contractions were taking some concentration and were coming quicker than every 5 minutes. Then I did something I, in retro-spect, would never let anyone in my condition do and climbed back into the car to drive myself the 6 blocks home. I had 3 or 4 contractions just going that distance and it took all my concentration not to ease my foot off the gas, close my eyes and turn inward during them. I had to actively force myself to look at the road and pay attention to my surroundings. It was extremely uncomfortable and extremely unsafe. Never again.
I got back to the condo around 7 or 8 pm, a full 12 hours into labor, and my husband helped me unload the car. I was anxious to have everything ready to head out to the birth house when it was time, but he convinced me to relax and focus more on getting some sleep first, since I didn’t know how soon that would become impossible. I set my new watch and timed a few contractions, just to see. Although definitely more intense, they were still only about 25-35 seconds long. So I got undressed and laid down in bed and dozed off. I don’t know how often I woke up, or how soundly I slept, but I do know that around 3:30 or 4 am I got tired of pretending to sleep when I was really just worried about not having a bag packed. So I got up and gathered a few things, then sat down with the stop watch. It was then I found the contractions were about 45 seconds long, so I woke up my husband and called the midwife. We finished gathering everything else that I wanted, woke my parents, called the people whose house we would be going to, and headed out.
The Story of Rhys--The Progress
I found that sitting was the absolutely most excruciatingly uncomfortable thing I could do during a contraction. Because of the pain in my back the contractions caused, anything pushing my hip bones up into that area intensified the sensation unbearably. This was most noticed while going to the bathroom, which I couldn’t do without having at least one contraction while sitting on the toilet. I would stand up and pulse up and down in a sort of squat until it passed, then finish. Likewise I would have a contraction while I was leaning at the sink with my hands under the water to wash them and have to pause and bounce through that one (next time—hand sanitizer!). Then I would have at least one more on my way back to the bedroom (literally 3 steps between the doors) and I would lean against the door jam and sway. This got to be very tedious, as I went to the bathroom probably at least once an hour.
I wanted to try laboring in water, so in the late morning my husband and the midwife brought in a tub (actually an extra large horse trough used only for the purpose) and set it up in the next room. They lined it with blankets then painter’s plastic and filled it with warm water. The midwife explained that the tub was ready, but they didn’t want me to get in it until I was at least 6 cm because if the labor hasn’t progressed far enough, relaxing in a hot tub can actually slow it down rather than help it along. I was pretty put out by that, knowing it had only been about 4 hours since I was 1 cm plus some stretch, and it had taken me about 24 hours to get to that point. She examined me and I asked “one and a half?” “Oh, give yourself more credit than that!” she said. I guessed, “3 cm?” And she said, “Try 6 cm.” I couldn’t believe it. Was that really possible? I was so excited. I changed out of my nightshirt and climbed into the tub. As I was lowering myself in I felt a contraction starting, so I turned over onto my hands and knees and as I did so, I felt a sensation like a large balloon or bubble suddenly expand from my vagina and burst with a gush. At the same time they (my husband and the midwife) noticed a plume of color in the water. My water had broken.
There was meconium in the fluid, but as the baby’s heart beat was still steady and strong, and there were no other signs of distress, the midwife wasn’t concerned. The baby’s heart rate was measured periodically with a hand-held Doppler that could be used in or out of the water. It was very convenient for me and I felt very confident that we were being looked after and monitored safely. I don’t remember how long I stayed in the tub, but I found it wasn’t quite perfect for me—the shape of the trough was pinched in at the middle so there wasn’t a good way for me to kneel and spread my knees wide, which was the position I felt most comfortable in during contractions that kept me in the water (as opposed to standing)—so I found myself getting annoyed with it. I got out at about 1 pm, 30 hours into labor. I had dilated to 8 cm, but had an anterior lip of cervix that was still impeding the baby’s head. I was very excited at the great progress I was making.