Tuesday, July 10, 2012

Nick's Birth Story


Nick’s birth story began long before labor started.  You see, when Kailey was  a few months old we were pregnant again.  I was exclusively breastfeeding, but I guess I am one of those fertile ‘lucky’ ones.  Although it was a difficult time, because Kailey was colicky, and the idea of adding another baby to the mix was a little overwhelming we were excited.  We had met with a midwife that I loved dearly, and established that our due month was September 2011.  Three months later on a Sunday morning I lost the pregnancy.  Without a warning.  It was hard.  Less than a month later we were pregnant again.    We did not know how far along we were, and my midwife suggested that we go ‘date’ the pregnancy.  Her son and his wife in Florida were due later that year and she was going to assist them in their homebirth.    She wanted to make sure she would be in town before she agreed to take us on.

There was only one doctor I wanted to see.  Dr. Guerrieri.  Midwife Pam said he was sympathetic to homebirth.  I was in no mood to be lectured as to ‘the risks of homebirth.’  I waited three months to get into his office.  Thorsten,  Kailey and my mother accompanied me.  I felt ridiculous in that stupid paper smock, and when I put it on it ripped in two.  I was on that crinkly table with the stirrups (which I refused to use)  in only socks and two pieces of a paper hospital gown.  T laughed his ass off.  When Dr. Guerrieri came in I was so nervous.  I dislike doctors. 

 He said to me “So Pam is your midwife?”  With a smile and a handshake.  I was relieved.  He said I was an old pro after K’s birth, and if everything looked good and there were no complications he didn’t see why we couldn’t have this baby at home.  As he put the wand on my belly his eyes got a little wider.  As the screen came into focus I saw what was a little spine.  He told us we were 16+ weeks along.   He bumped the wand and I saw a wiggle.  He asked if we wanted to know what we were having-but I already knew.  It was a boy.  Nickolas.  Thorsten would have a son.

The pregnancy was hard to recall.  Funny how our minds do that-block out all the discomforts.  There was extreme nausea, and terrible pelvic pain.  My bones were separating-trying to carry the front end weight.  Nick was breech for a long time, and I tried a variety of ways to get him to turn; flashlights, lying upside down, visualization.  He finally turned right before Thanksgiving.  As the months dragged on I was running out of steam.  My fundal height was measuring at a December due date, but at my monthly and then weekly appointments Pam was becoming concerned at the size of this baby.

As I would waddle around public, eyes would follow me and I would hear audible gasps.  Some brave souls would ask me if I was carrying twins, or if I was due any day-perhaps afraid to stand in the splash zone.  I was miserable and so was everyone else.  T was a nervous wreck every day at work, wondering if he would be able to make it home in time…if and when I ever went into labor.
Towards the middle of December I asked Pam if it would be okay to try some holistic induction methods.  She said we could try some things, and that she was confident that he was ready-at over 9 lbs.  She advised that these methods would only bring on labor if labor was ready to start.  There was no guarantee.  That day she did a membrane sweep.  She said I was already dilated.  Pam sent me with a list of natural herbs to take and smiled when I said goodbye.  As we hugged in the doorway of her home she said “Maybe I will see you before the weekend is over!”   I was excited.

At Mustard Seed Market I picked up a bottle of blue, and a bottle of black cohosh, evening primrose oil, castor oil and some diaphragms.  My mother met me at the house and I began the regimen of the cohoshes.  They were awful and burned all the way down.  Contractions would start and I would take them alternately every half an hour for 3 hours.  When I would stop, the contractions would subside.  This went on all weekend.  I woke up a very unhappy pregnant woman that Monday.  We began to have lots of sex, as a means to get this baby out!  It is not easy, and very unromantic to have sex when you are that pregnant.    

Another week went by and we did another sweep.  I was further dilated, but still no sign of labor.  Pam sent me on my way with directions to use the evening primrose oil.  I will not attempt to explain how one goes about using them-go ahead and Google it if you are curious, but poor T.  He had some unpleasant work cut out for him.    This combination of cohoshes and evening primrose oil went on for weeks.  We walked around the block most nights.  I was slow and could only walk a few steps at a time.  T walked right alongside me, in the cold, after a long day’s work.  He was very supportive.  We talked of the various risks, and consequences of the decision to birth Nick at home.

Christmas came and went.  As did New Years.  At the beginning of January I took the castor oil.  It was everything everyone said it would be.  It was hellfire coming from my back-end.  For 16 hours.  I would sit on the toilet and sob, it hurt so badly.  Thank god my girlfriend Ana had made me some butt balm for the kids.  I did what any mom worth her salt does-I stole it!

At my January 12th appointment, Pam said she was concerned that labor was not starting.  I had been 6+cm dilated for weeks.  We had tried numerous induction methods, and it just wasn’t happening.  We agreed it would be advisable for me to see Dr. Guerrieri and get his opinion.  Pam was hesitant about the idea of a homebirth after the following Thursday, January 19.  She knew this baby was over 10 lbs. already, and the longer he stayed put, the bigger he got.  We talked about shoulder dystocia, and the risks associated with having a baby of this size.  She advised me that no responsible hospital would allow me to be induced with a baby of that size.  If I transferred care to a hospital I was guaranteed a C-section.  I went home a cried.  I was so scared.  All my hopes for this second homebirth were falling apart right in front of me.  How was I going to deal with giving birth to one child at home, and having the other one cut out of me?   Strapped to a table, unable to see.  The bright florescent lights of the hospital and some stranger’s hands greeting my child.  I begged Thorsten to not let me go alone.  He apologized and said he didn’t think he could watch someone cut me open.  My mother would have to go.  I called and made an appointment to see Dr. Guerrieri  January 17th.

That weekend was an emotional one.  I did a lot of crying.  By myself.  I did not want T to get upset or mad at me for being a weepy mess.  I would lay in bed at night a cry silently.  I finally resolved that I could do nothing about the situation, and I left it in the hands of fate.  I would get through it somehow, and if I needed to have a C-section, then that’s just what would have to happen.

Sunday evening my parents came over for a visit.  Our friend Dave Toth stopped by to see how I was feeling.  I was in the recliner trying to be comfortable.  He laughed and said I looked miserable.  I was.  Shortly after Dave left I started feeling anxious.  Contractions had been happening for over a month now, and I think that is why I was so reluctant to believe it was time.  Besides-there was no snow storm.  I had been envisioning a snow storm for this birth and damnit!  I wanted one.  

My mother urged me to get into the bathtub and see if the warm water would help bring on labor.  As I got into the tub the real contractions started.  I was moaning and rocking through each one.  I would go between getting out of the tub and stomping my feet and hollering to back into the tub on all fours.  I still wasn’t convinced.  I would not let anyone call Pam yet, but I made Thorsten take Kailey to my friend Leah’s house-as she was getting upset and I was unable to concentrate.

Thorsten went outside and called my friend Meagan.  She was to be my doula.  When she came into my bathroom a short while later, she sat next to me and said some beautiful encouragements.  I don’t remember exactly what she said, maybe “Don’t be mad at Thorsten, he thought I should come” and “You are doing great.”  I laughed and said “Doing what?!  I don’t think I am really in labor.”  Apparently everyone else in my house knew I was in labor, but I kept denying it.  Thorsten made me call Pam.  I didn’t want to bother her.  I was sure this wasn’t really labor.  My water hadn’t even broken.  Contractions were still only 4 minutes apart.  

When Pam walked into my bedroom I was rocking back and forth and moaning.  She got to work unpacking her supplies.  I told her I probably wasn’t in labor.  This would pass.  She knew better but told me she would rather be safe than sorry.  The bed was made up with plastic under the old sheets.  Giant cloth pads were placed on the floor next to the bed, and on the bed.  At some point the backup midwife came.  Pam was concerned about the size of the baby and had asked weeks in advance if I would be okay if another midwife would be there to assist.  

When contractions would hit I would scream and bear down.  I was resting on all fours, and when they would hit I would rock back onto my heels.  When they would subside I would raise my fist into the air and say a silent prayer “Dear god, take this from me.  Help this be over fast.”  I kept telling myself out loud that “We can do this.” (Nick and I), because I remember Meagan telling me that is what she said during her labor.

My mother was at my feet rubbing my legs.  Meagan was at my head, rubbing my back and applying cool cloths to my sweaty forehead.  The two midwives were at the base of the bed-whispering to each other and taking notes.  I don’t know where Thorsten and my dad were.

At some point Pam wanted to check my cervix and see how dilated I was.  I had been complaining that I had to pee but couldn’t.  She knew my bag of waters was bulging and wanted to see if it would break.  I remember whining “No, I don’t want you to check-you’re just going to lie to me anyways!”   Her and everyone else laughed and tried to reason with me to just let her check.  I bargained with them and asked if I could wait a few more contractions then I would let her check, as I did not want to move.  As soon as she put her gloved fingers in to check, my bag burst all over her and the bed.  Everyone laughed and she told me I could go pee in the bathroom then.  I exclaimed “I am.”  Matter of factly.  I didn’t care at that point.

I went to labor on the toilet, and Pam came in with the Doppler to listen to Nick’s heartbeat.  I was on the toilet bearing down and Pam sat on the edge of the tub with the Doppler pressed to my lower belly.  I yelled “He isn’t coming!”  With an air of desperation.  Just as the words left my mouth I could feel him drop into my lower pelvis.  I scream “He’s coming!”

Pam helped me quickly crab walk to the bed.  I laid down on my side and braced my one foot against the headboard.  Both midwives got to work and as he was crowning they were dependent on Meagan and my mom to hand them supplies.  They used olive oil and poured it all over my perineum and his crowning head.  There is a mirror on my ceiling and I am so grateful to have been able to see the whole thing.  As his head came out they told me to stop pushing.  I did exactly as I was told-as I knew how important this next step was.  We had a very short window to get him out.  As anyone who has given birth, you know how impossible it is to stop pushing, and how bad the crowning hurts.  I did it though.  Both midwives got his shoulders to release from my pelvic bone.  They rotated him out.  When he came out his head and hands and feet were blue.  They swept his mouth and handed him to me.  I immediately put him to my breast as I know the nipple stimulation helped to contract the uterus.  He latched very well and I was so proud.  Thorsten cut the cord and we laid in bed next to him.  My mother came and sat by my head.  After Nick was checked and weighed by Pam, he was handed off to be diapered, and I was helped to the bathroom and into the shower.  Less than a half an hour after Nick was born we were back into bed and snuggling each other.  Meagan and Pam cleaned up my room and Pam started a load of laundry.  Nickolas John-Fredric Greulich was born at 12:15 am on Sunday, January 15, 2012.  He weighed 10lbs 13 oz.  Labor lasted 3 and a half hours.



It is such a source of pride for me to have birthed both of my children at home, and to have traveled this journey for the last 6 months of tandem nursing.    Although it is coming to an end, I will be able to look back on this time and know that I was strong enough, and determined enough to do what I set out to do.  I am a momma, hear me roar!  ; )