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All
births are a triumph in some measure. My first birth was a classic "failure to progress" yet when I awoke
from general anaesthetic to find my daughter, Emma, at my breast I
felt a sense of awed wonder at the creature my body had produced. In
the days, weeks, months that followed I started to wonder, to regret,
to blame myself for the “failure” I felt myself to be for needing
a caesarean.
It was a long and rocky road, a journey of mind,
body and spirit to the birth of Fergus eleven years later.
Two more births came after that first one. In the preparation for
Kieran’s birth I had attended NCT classes and had laid some
feelings to rest but I still needed to believe that the medical
profession knew better than I, still believed I was safest in their
control. I slid helplessly down the cascade of intervention from
induction to epidural to failed ventouse to emergency section. We joked,
Raymond and I, somewhat flippantly to mask the pain, that whilst we
grew beautiful babies we just couldn’t birth them. Yet somewhere
inside I knew that wasn’t true and I embarked on antenatal teacher
training hoping that there was an answer to the “why?” questions
that plagued me.
By
the time I was pregnant with Carys I had some answers and better
still had managed to work through a lot of the feelings of anger and
betrayal that those answers had brought. Yet still, as I planned for
VBA2C (vaginal birth after 2 caesareans) I felt like a bit of a
naughty child for daring to decline the consultant’s advice to
“just” have another caesarean. I knew the evidence was on my
side but that pregnancy seemed to be a long and painful battle with
not only my fear and doubt but those of the medical profession too. I hoped but I didn’t quite dare believe that I
could do this.
I was told at 40 weeks that I had
all the signs of
pre-eclampsia I couldn’t hold out any longer and had a calm and
resigned caesarean which in many ways was a lovely experience. We
decided not to have any more children and I accepted that I would
never really know what it felt like to birth a baby. I focussed my
efforts on teaching antenatal classes, trying to give other women the
skills and information to avoid my experience.
When
I found I was pregnant for a fourth time, there was never any question of how
I intended to give birth. My ongoing work as an antenatal teacher,
my contacts both within the birth and the midwifery world, everything I
knew about VBAC made me certain that birth after three caesareans was
not only safe but possible. I also knew deeply and instinctively
that I needed to be at home and I needed a wise woman to be with me.
To be fair, I didn’t reject the NHS out of hand but I know how the
community midwifery system worked and I knew that whilst my
local midwife might support my plans there was no guarantee that she
would be available when I gave birth. My fear was never that I would
have a uterine rupture, only that I would have panic stricken
birth attendants who would be wanting to transfer me or inexperienced
birth attendants who wouldn’t know how to spot an impending
problem. Above all else this was about having a healthy baby not
scoring points in some birth trial.
I
knew of the independent midwife, Mary Cronk from email groups I was
on and by reputation. Experienced in the more unusual types of
birth at home, breech, twins, VBAC she is practical, down to earth,
bolshy about uninformed medics but knowledgeable about when to use
medical care and right on my doorstep. I resented having to pay for
her care, not because I begrudge her one penny piece of it ,but
because I believe this sort of care should be available to every
women as part of our healthcare system. Raymond was horrified by the
expense but accepted that only this way could we relax and get on
with this pregnancy and birth, secure in the knowledge that our
midwife was both experienced, confident and one hundred percent on
our side.
So
many times we were asked by friends and family “So what does your
doctor think about this?” I realised how far I had come in my
journey that I was amused rather than defensive about this. “We
haven’t asked.” I would reply “We have read the evidence, our
midwife is happy and we don’t require a medical opinion at
present.”
Although
by now convinced that I had not been truly pre-eclamptic in my last
pregnancy, I was concerned to keep my weight down and avoid any
possible complications so I restrained my lifelong devotion to
Cadbury’s produce and tried very hard to like salads. A week
after the birth I weighed only 6lbs more than my pre pregnancy weight but I was and am morbidly obese.
I
hoped and I waited and I spent a lot of time on email and the phone drawing support
from others all round the country who had homebirthed and VBAC’d or
were planning to. I prayed a lot too. As the pregnancy reached
term, and well beyond, I was conscious of so many people wishing me well,
praying for me. Sometimes in the middle of the night I did wonder if
I was totally mad and if I was going to die or to cause my baby’s
death but these doubts were very rare. I still wasn’t sure that
the damage done by the sections wouldn’t prevent this birth being
straightforward but I was sure that I believed I could do it.
There
are advantages to being an antenatal teacher when you are planning on
giving birth. I already had a birthing ball, Tens machine,
homeopathic kit, aromatherapy oils and burner and a wheat filled
pillow and various bits of massage paraphenalia.
I
filled our dining room with candles, I spent hours choosing music and
breathed my way through every relaxation tape in my library. The
birthing pool was up and ready at 37 weeks just in case baby should
defy all previous experience and be early. We had chosen one with a
heater and filter so that it could be left fully filled and I used it
to wallow away my pregnancy aches and pains and dream about birthing
in it. I ruthlessly refused all pleas from the kids to jump in and
splash about – this was my space. Once a week Raymond drained,
cleaned and refilled it while I paced about anxiously hoping I wasn’t
going to go into sudden labour.
It was an agonising wait, I have a
long menstrual cycle of around 35 days so I knew I should add a week
onto the usual method of calulcating a due date. But technically I was
18 days over my due date calculated by standard methods and 11 days
over my date. I really began to lose my nerve and spent a lot of time
on the phone to Mary and to lovely Debbie and Gina from AIMS.
Both of my previous labours had been long
and slow, I couldn’t believe this would be any different especially
as my uterus had three scars to contend with which, Mary warned me,
might take a while to get going with strong efficient contractions.
So I was somewhat bemused to get up on Monday morning, after a night
of mild period type pains, to find I was having quite strong
contractions every five minutes. Hang on a minute…what happened to
the mild, infrequent every twenty minutes or so that I tell my
couples about? “Every labour is different” I told myself,
hiding behind the fridge/freezer so the kids wouldn’t see me
breathing through the contractions. But secretly I was more than a
little miffed that I seemed to be in so much pain so fast as I fully
expected this to go on for twelve hours plus.
We
got the kids ready for school without revealing that I was in early
labour. Emma was starting SATS that day and I didn’t want her to
worry. Carys on the other hand, given one hint that baby was on its
way would have point blank refused to go to school. Not that she was
that bothered by the baby, she just wanted the present she knew was
waiting for her on his arrival!
I
slipped away to phone Mary. She was due to go to the RCM conference
that day and had reluctantly handed over my care to her colleague
Andrya but I knew she would want to know that it was finally
happening. I then phoned Andrya and was mildly disappointed that she
planned to be with me about half past ten. I wasn’t sure that I
could cope another two hours with just Raymond. But I was sure that
it would be many hours yet before baby arrived so just got on with
breathing my way through the next contraction and willing the
children to go to school soon so that I could make some noise. As
they left the house I slumped over my birthing ball with a grateful
“Ooooh!”
My
friend Lesley, forewarned by Raymond, came and sat with me while he
did the school run. By the time he came back things had kicked on a
gear and I was really needing to concentrate hard on my breathing and
rocking over the birth ball.
The
Tesco order arrived – in retrospect I thanked God it was at the 9am
end of the delivery slot and not at the 11am end or the poor man
would have been greeted with a lot of noise - as it was I wonder if
he was bemused by the sound of groaning female emitting from the
house!
Raymond
rang Mary who was making a last visit to a client before leaving for
conference and she offered to come over and be with us until Andrya
and second midwife Sue could get here.
It
was lovely to see Mary after all, I had been feeling so sad that
after all our work together during the pregnancy, she would not be at
the birth.
Its
such a strange experience knowing so much about birth and then
actually doing it. I had by now abandoned the birthing ball and was
pacing about the living room, stopping only to grab for the
mantelpiece and rocking my pelvis through a contraction. I kept
thinking about that teacher’s weekend in East Grinstead where we
had learned to do pelvic dancing. A bit of me noted with
satisfaction that it works….It distracted me from the bits of me
that were saying anxiously “But it still hurts so much, so
quickly!”
I
now had all three midwives in attendance all quietly to hand,
organising themselves unobtrusively, there if needed but not in my
face. Andrya offered me an examination and, desperate to know if I
was actually dilating I accepted. We trekked upstairs and I hung on
the bedroom door handles while she got her kit ready. At the last moment I sank onto the
bed and she was quick, gentle and encouraging “At least 3 to 4 cms
dilated” Yeee ha! Erk, contraction coming…off the bed and back
onto door handles quick.
How do women labour on a bed? I kept
asking myself. This pain was fine if I was up and moving,
the thought of being still, prostrate was agonising. Yet if I had
accepted consultant care that is what I would have been advised to do
in order for electronic foetal monitoring to be carried out.
Andrya’s hand held monitor and frequent pulse taking seemed to be
doing a splendid job of assuring us all that both baby and I were
well. I knew it anyway. Despite the pain, I knew we were both just
fine.
Downstairs
again I wondered aloud whether to get in the pool, was it too early?
Whatever you want to do, my chorus of midwives said. I
decided I would get in the pool and sank into it with relief, it was
like being greeted and hugged by an old friend, a lovely, comforting,
safe place to be. I found a way of kneeling and leaning over the
side where I could rock my way through a contraction and slump
through the short intervals between. I started to retreat within
myself. Not deliberately, although my teaching bit of me noted with
interest that I was doing so, I just did it. I needed to have my
eyes closed, to just be me with the pain and the rocking and the
breathing. I was surrounded by loving voices, Raymond by one ear,
Mary still there coaching me through a particularly difficult
contraction. Andrya and Sue’s voices becoming more familiar. The
pain racked up a notch “I can’t do this” I said. “You ARE
doing it” the voices said. I could feel the presence of God in the
room too, just there, just loving me and comforting me.
Mary
left soon after that, withdrawing quietly without my realising it.
Yet curiously I could still hear her voice afterwards, telling me to
go saggy with the pain, encouraging me that soon it would get better
as I started to push.
I
heard myself begin to moo and bellow and again the detached part of
me thought “Oooh, Gina said in her birth story that you only
do a few of those before you give birth.” The rest of me thought I
might be nearing the end of my tether!
At
last the urge to push started, it still felt far too early in the day
to be possible, and at last I was doing something other than
enduring. I braced myself across the pool, rubbing my face up and
down Raymond’s forearm for comfort and reassurance, remembering not
to grit my teeth and push but to let the air out and go with the
surges. I couldn’t feel quite what I was pushing where and made a
conscious decision to push towards my bowels as I could feel
something there. Sadly it was poo not baby that emerged but I was
beyond caring and suddenly to my elation I could feel what I was
doing, feel the baby moving down.
I
didn’t need much encouragement to breathe through the stinging sensation of crowning –
the antenatal teacher bit of me noted that yes it felt exactly like I had been
describing for the last five years, the rest of me said “ooooooooh”!
Did I want to feel the baby’s head? No I didn’t. Far too busy
concentrating thank you. And then in a slither and a flurry he was out and I was
sitting back, pulling my leg from under me, taking my baby from
Andrya, leaning back onto the pool. We did it, we did it.
So many
times I had dreamed of this in my relaxation sessions but oh the
triumph of the realisation of those dreams! I had expected to be
exulted, elated but it went deeper than that. A deep quiet “Yes.”
An affirmation of everything I held to be true about the power of the
human female body and spirit. The triumph of hope over previous
experience.
The
whole birth took less than six hours. I birthed the placenta in the
pool twenty minutes after my boy. I cuddled him in the pool while he
sorted out breathing and Raymond cut the cord – such a different
experience for him too being an active participant rather than
helpless spectator.
Fergus
Lesley was born at 12:50pm, had his first breastfeed half an hour
later and weighed in at 8lbs 60z leaving his mother with an intact
perineum and a smug grin. By the time his brother and sisters came
bounding back from school Andrya and Sue had tidied up and gone,
leaving us to introduce the siblings.
“Lovely,
“ said Carys “so where’s my present?
After
the birth, I discovered two cannisters in the dining room which Mary
had left behind. One was oxygen, one was gas and air. “Do you
mean” I said, mildly protesting to Andrya “that you had gas and
air in that room and didn’t offer me any.”
She
shrugged, smiling “If you had needed it, “ she said “you would
have let me know.”
And
she was right, I didn’t need it. The oils, the homeopathic kit,
the music all were untouched too. Perhaps in a longer labour or in
an alien environment I would have needed that kind of support but on
the day all I wanted was my husband, my home, my pool, my God and
three wonderful women who understood how birth works and how to help
me make the final part of my own birth journey.
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