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Charlise Suzanne at two weeks old |
I feel beyond grateful that I am able to add a VBAC success story to
the internet, even if it's just on this little blog of mine. I obsessed
over other people's birth stories throughout my pregnancy. I dreamed of
having a birth story that would be a joy to reflect on and transcribe.
And
here I am, eight weeks postpardum, the birth endorphins have long wore
off and yet I still feel overwhelming joy and pride when I think about
Charlise's birth. It's not just hormones, it's true empowerment and
healing from a c-section that haunted me.
But before I
delve into her birth story, I need to take you back - back over two
years ago to Vivian's birth.
Let me set the scene -
It's
Sunday. Five pm. I lie in a hospital bed under fluorescent bulbs, with
external monitors over my swollen belly, an IV pumping fluid and Pitocin
into my arm, an epidural plugged into my back, a catheter taped to my
leg, and an internal monitor screwed into my unborn baby's head. I was
delirious from not eating the past 48 hours. Through my bloodshot,
nearly-swollen shut eyes I can see my husband, my sister, and my mother
staring at me with their own tired eyes, wanting all of this to be over
just as much as I do.
I had been pushing the past three hours. At least, that's what they told
me. I couldn't actually tell that I was doing anything with all of the
pain medication. But I can confirm that I had been lying on my back,
waiting for them to tell me when I was having a contraction so that I
could make some feeble effort to move my baby through the birth canal.
It wasn't working.
This had all started with a hopeful
induction. I had practically skipped into the hospital with my birthing
ball on my hip and my husband at my side on Friday evening. At a week
"overdue", we were eager to meet our little girl. I didn't want an
induction, but it was the final option given to me before a scheduled
c-section. My doctor was
convinced my baby was just too big for me to deliver, as an ultrasound
had estimated her weight to be nearly ten pounds. She wanted me to
schedule a c-section but I protested and she reluctantly agreed to
induce me. I was ready to give it my best shot and receive as few
interventions as possible.
My naivety is almost comical
to me now. I'd had a textbook pregnancy and done a bunch of research
about birth. I hadn't, however, done any research about the hospital
itself. I didn't know they had
the highest c-section rates in the entire area. I didn't know about the Bishop's score and that I would have scored a zero. I imagined a quick
trip to the hospital for the delivery, clean and neat.
But there I was, completely immobile, feeling more like a science fair project than a woman in labor.
"Well,"
began my OBGYN, "I can cut an episiotomy and use vacuum extraction.
Buuut, you will probably tear severely and potentially have permanent
hip damage... Her collarbone may break... Or I can just do a c-section."
C-Section.
I
can't tell you how tired I was of that word. All weekend, my doctor had
been airing that word into the delivery room with raised eyebrows over
her round condescending eyes. She would come into the room every two
hours or so and utter some variation of "If you don't progress to X over
Y amount of time, we will want to perform a c-section."
A landslide of interventions had led me to this moment - the final ultimatum. I caved. I agreed
to a c-section. A decision that in turn was admitting that my body was broken, that it
couldn't deliver a baby. My doctor had told me so. She had been right
all along. I was defeated.
---
I was
in the recovery room when I first got to touch my baby. They wheeled her
in inside a plastic bassinet, all washed and swaddled, so detached from
me. Was she mine? I couldn't be sure. I was so groggy from the
medication. They placed her on me and I made some feeble attempt to
breastfeed for the first time, remembering that Golden Hour I had read
about and missed. She screamed as I tried to hold her up in my weakness
and attempted to position her above my bandaged incision site. My doctor
came into the room and started giving me details about the surgery.
Over my infants cries, she told me it had been "dicey" in there and
everything was "so swollen" and that next time I "just need to schedule a
c-section".
Now, I have to pause to acknowledge that
things could have gone much worse. My daughter was, after all, born as
healthy as could be - 9lb, 2oz, 23 inches long. The surgery itself
wasn't particularly traumatic. I was stitched up cleanly and my vagina
was in one piece. We eventually got the hang of breastfeeding and
developed a strong bond, despite missing the Golden Hour. I felt relief
that labor was over at last. My postpartum room was a spacious
private suite with attentive nurses and a steady stream of visitors. My
home recovery was made easy by my visiting sister, Sheridan, an RN with
an excellent ability to perceive discomfort and make it go away. She
stayed with us for eleven days after the birth and I can emphatically
say I couldn't have done it without her.
But there was
still that feeling of failure that I couldn't shake. When I found out I
was pregnant 18 months later, I doubted that my body would be able to go
into labor on it's own. I just couldn't take another grueling
induction. Scheduling a c-section would be less of a fuss and I toyed
with the idea.
Early in my pregnancy, Sheridan was once again visiting from Southern
California. She had just delivered a beautiful baby girl after a long,
difficult labor. We were up late talking on the couch, as we often are,
and I was telling her about my concerns.
What if this baby is as big
as Vivian had been? What if my body just doesn't know how to go into
labor? What if my pelvis is too narrow? What if...
"What
if you could?" Sheridan retaliated. "If you can't have a vaginal birth
and end up with a c-section, that's okay. If you aren't able to VBAC,
that's fine. But what if you could?"
What if i could?
I
started doing research. If I was going to do this thing, I needed a
supportive birth team. As amazing and supportive as Corey (my husband)
is, he isn't a birth coach. We knew Husband-Coached Childbirth would not
be a good fit for us. I needed a care provider and a coach that had more
faith in birth than I currently had. I switched health care providers
to Kaiser with their team of Nurse Midwives. They were excited about my
decision to VBAC and provided a ton of encouragement and recommendations
to maximize my chances.
I emailed Capital City Doulas,
Sacramento's collective of birth coaches, and told my story and my
hopes for a VBAC. About eight doulas responded, interested in working
with me. I set up interviews with the four that seemed like a good fit.
Nanci was the last doula I interviewed. I knew within ten minutes of
sitting with her that she was the one. She felt like an old friend. She had worked with many VBACing
mothers in the past and was extremely knowledgeable and personable. I had my coach.
What if I could?
I
poured over Ina May's Guide to Childbirth and the Hypnobirthing book.
Both boosted my confidence tremendously. Achieving a VBAC grew into an
obsession. I did everything I could to increase my chances. I maintained
a low-glycemic diet by avoiding white carbs and sugary sweets throughout
my pregnancy. I did yoga three times a week throughout my third
trimester.
I wrote out 8 to 10 Birth Affirmations on 5x7 index cards.
"I trust in my ability to birth my baby." ...
"The power and intensity of your contractions cannot be stronger than you... because they are you." Just writing them out was therapeutic for me.
Nanci introduced me to the Sacramento
Chapter of the
International Cesarean Awareness Network. I got involved
with their Facebook page, asking questions and gaining advice. I
attended a meeting and met a whole group of women that believed in birth
and my ability to VBAC. "It's only a VBAC to the hospital - to you, it's just a birth," I remember someone saying at the meeting. They made me a bracelet out of individually
selected beads to remind me of their support.
What if I could?
I was sure I could. I felt confident and excited for labor, even when November 6, my due date, came and passed.
At 2:07 am on November 9, I woke up to my first uncomfortable
contraction. I had had sporadic Braxton Hicks contractions for the past
week or so and this was definitely different. I got up and went to the
bathroom. Sure enough, I had lost some mucus plug. Something was
happening!
I laid back down with my phone
open to a
contraction timing app. Mild cramp-like contractions came every
three minutes or so. I texted Nanci with an update. She
suggested I try and get some sleep because I would need it if this was
true labor. I was so
giddy to be in any stage of labor that it was difficult to settle down.
Eventually, the contractions fizzled out around 4am and I was able to
sleep
soundly until 7am or so.
In the morning, I made breakfast for Corey,
Vivian, and myself. I proceeded to do the dishes and start some laundry.
I had been nesting for days so the house was near spotless (a real
feat with a live-in tornado of a two year old). I started working
on a craft project for the nursery. As I painted a little fox on a wooden
storage box around 8am, the contractions eased back in. They were
again averaging three minutes apart and felt like mild period cramps. I
finished my craft project and began another.
Meanwhile,
my in-laws were over, fixing a leak in the front yard sprinkler pipe.
Corey and Vivian were running in and out of the house, fetching
tools and toys. At first, they were a welcome distraction, then they
became an annoyance. That's when I knew I was in active labor.
I
packed an overnight bag for Vivian between contractions (still 3
minutes apart). My in-laws took her home with them after the sprinkler
pipe was fixed around 2pm. Before she left, she hugged and kissed me
goodbye.
Nanci suggested that I take a bath to help me
relax. I'm not really a bath person but I gave it a shot. It really did
help ease the moderate pain I was feeling. After 30 minutes or so, I
moved to the bedroom and laid down. It was difficult to remain in one
position. I tried taking a shower but it didn't provide much relief. I
ended up back in the bathtub where I set up Corey's tablet and watched back to back episodes of
Gilmore Girls. (Thank you Netflix) Corey periodically checked on me but I preferred to labor
alone at this point.
Nanci had been actively texting
me all day. I was sending her reports from the contraction timing app
straight to her email so she had an accurate picture of my progress.
Because my contractions were so frequent and not yet intolerable, she
had a hunch I was in prodromal labor and that I could be in labor for
days. She asked a series of questions to help me work through anything
that was mentally holding me back from true labor. Was I anxious? Was
there tension in any of my relationships? Were there fears from my past
labor that were surfacing? No. No. No. I felt calm and happy.
Around
5 pm, I sent Corey to the store to get some labor friendly snacks,
namely the coconut water popsicles that I was craving. He returned with
said popsicles, a bag of mixed nuts, a granola bar, and applesauce
squeeze packets. Bless him.
I ate one of my
popcicles in the tub before getting out and getting back into bed to
continue watching Gilmore Girls. The intensity of the contractions was
gradually increasing but I could still follow the show's storyline and I able to breath through them. Corey joined me in bed and I
suggested that we watch something funny as a distraction. He put on
Anger Management (Netflix, again). The contractions came every 2-3 minutes. I
would breath through them and attempt to distract myself with the
movie. It was supposed to be funny but I found it difficult to
laugh. A few times, Corey would pause it when I was having a contraction.
I would yell at him to turn it back on because it was helping distract
me! Thirty minutes into the movie, I was no longer able to follow the
storyline. I turned my back to the screen and concentrated on my
breathing. Corey turned the movie off at some point and I labored in
silence, breathing carefully for another 40 minutes or so.
The
contractions started to last really long, about two minutes each with
only a minute in between them. I thought it might be time to go to the
hospital. I talked to my doula on the phone. I could still walk (on my
tip toes) and talk (slowly) through the contractions. She encouraged me
to stay home but recommended I call the hospital and get their opinion.
She told me to ask for Gabi, a Kaiser nurse who is a part of the local
VBAC support community.
I called Labor and
Delivery at 6:45 pm. Gabi happened to answer the phone. She had been
expecting my call because Nanci had already contracted her. She listened
to me talk through a few contractions and also encouraged me to stay
home.
"You only come to the hospital for one of two
reasons," Gabi said. "If you want something here that you can't get at
home (pain relief) or if you're ready to have the baby". She said I
didn't sound like I wanted to kill anyone yet, so I wasn't ready.
We
decided to wait it out a bit longer. Corey made me a cup of tea. He was
so calm. I had anticipated him anxious to get to the hospital but he
said I didn't seem like I was in enough pain to need to go in. He
reminded me that the hospital would be less comfortable, that machines
would be beeping, and people would be interrupting. Corey used light
touch massage through some contractions and that helped a lot. I laid on
my side in some sort of trance for a good ten contractions, breathing
them out and moaning.
Suddenly, I thought I was going
to puke and attempted to hurry to the toilet. Corey came behind me and
rubbed my shoulders and held me up. I didn't puke and stood up to walk
back to the bed. I had another contraction that was so intense it sent
me back to the floor. I couldn't get back up because they kept coming. I
remember moaning loudly and repeating "No!" over and over. They were
coming on top of each other and I felt a ton of pressure down there. It
felt like one long contraction without relief with peaks.
I
told Corey it was time to go in. He was skeptical and so was
I. As uncomfortable as I felt, I didn't know how much worse it could
get. I had never been in labor without Pitocin. I worried that I
would only be 3 or 4 cm dilated and would be at the hospital for a long time and risk unnecessary interventions. Corey
suggested that I drink the tea he had made but I couldn't. He loaded the
car with the hospital bags as I shuffled through the house towards the
garage as best I could. I had another contraction that brought me to my
knees, literally, in the garage. I managed to get into the car. Corey
called Nanci and told her that we were on our way. I called Labor and
Delivery and told Gabi the same.
The car ride was
intense. I had my eyes pressed shut just about the entire ride. I
couldn't fully sit down because of the pressure. My pelvis was lifted
from the seat and my neck stretched back. I remember opening my eyes
just once on the freeway. I saw a dizzying blur of streetlights
and headlights and glowing green freeway signs. I closed my eyes again
and breathed.
We got to Kaiser. I managed to get out of
the car and shuffle towards the door. Corey helped me into the World's
Most Uncomfortable Wheelchair and wheeled me back into Triage. A nurse asked me to sign some papers. I scribbled over them as best I could. Corey left
to go park the car and the Triage nurse asked me to undress and lie on
the bed so she could check my progress. I couldn't undress without her
help. When she finally was able to check my progress, she said I was
complete!
I was shocked and so relieved.
They were having trouble getting an IV set up. Apparently I was
dehydrated - whoops. They wheeled me into the delivery room without an
IV. The doctor on duty insisted I needed one because I was attempting a VBAC.
Nanci arrived as they were finalizing the IV. Finally, they got it
situated and I was allowed to push. I didn't feel any strong urge in any
direction. Gabi and Nanci coached me, giving me pointers and
encouragement. After a few unproductive attempts, the doctor broke my bag of
water just by touching it. There was so much fluid! I
started to feel like I needed to push with the contractions.
I
tried a few positions and everything felt so awkward. Memories of pushing unproductively two years ago flooded back. I was losing confidence. Finally, they
brought out the squat bar. Nanci wrapped a rebozo around it for me to
pull on. I positioned my feet on the sides of the squat bar and pushed.
Pushing was definitely the hardest part of labor for me. I
didn't feel possible to push out this baby. I started to get really
scared.
Gabi's voice grew with urgency as she watched the baby's heart rate monitor. "She needs to come out now," she said.
I knew that. I was working on it.
"I
don't like what I'm seeing," Gabi was wide-eyed. "You need to get this baby out or you're
headed to the ER. Give it all you've got or this is going to be an
emergency c-section."
I was terrified. I knew
this was it, my last chance. I threw my fear aside, concentrated on
moving my baby through the birth canal, and pushed. Nanci told me to
tuck my chin and hold in any sound I felt like making and focus all
energy on pushing. Nanci and Gabi got excited. "That's it! Do it like
that again!" I pushed again and again. I could feel her moving through
the birth canal. How exhilarating!
"Her head is out!" They said. How surreal!
A few minutes later, she was born. What relief!
They
cut the cord immediately and carried her over to a table. The cord had
been wrapped around her neck. They jostled her around and she started to
cry. Another relief!
Charlise Suzanne was 7 lb, 11oz and 20.5 inches long! One pound and a half smaller than her sister had been.
I was able to breastfeed almost immediately after they handed her to
me. She was wide-eyed but so calm. I felt amazing. I felt absolutely no
pain, even when I felt the needle thread in and out as the doctor stitched up a small tear. I felt joy and
disbelieve that she was here and that I had got my VBAC!
The
doctor delivered my placenta quickly. He
estimated I had lost about 500 cc of blood. It was everywhere.
I
rested for an hour or so as Gabi recorded things in the computer and chatted with me like an old friend. She
asked me all of the questions we didn't have time to answer during our frantic arrival to the hospital. I was on top of the world. They wanted me to get up and use the restroom. When I stood,
I lost a large amount of blood. On the way back from a
failed attempt to pee, my vision started to fade and I groped for the
bed. My head was spinning.
They called the
doctor back in and he confirmed that I was hemorrhaging. What happened
next was the most painful thing I have ever experienced. He had to
aggressively massage my abdomen while using some sort of hook to scrape
inside my uterus. It was excruciating. All of labor was nothing compared
to this pain. Nanci rubbed my head and helped me breathe. Finally, he
pulled out a small piece of placenta that had been left behind.
I
had lost upwards of 1000 cc of blood at this point. I was so pale and
so, so thirsty. Nanci brought a straw to my lips and helped me drink. My
hands and feet tingled. The doctor warned me of a possible blood
transfusion or a DNC. That scared me. They kept me in the deliver room
for a few more hours to monitor the bleeding.
Corey
went out to get himself food at 2am. He hadn't eaten anything since
lunch! Thank God for Nanci. She talked with me and helped me rehydrate.
While Corey was out, they cleared me for transfer to my postpartum room. They
wheeled me through the halls as I cradled little Charlise. A lullaby rang out from the speakers - an
announcement of my daughter's birth, an anthem to my VBAC.
After
we got situated in our room, I called my sister to gush over the
details. Nanci said her goodbyes and Corey attempted to get comfortable on a tiny, lumpy couch. I was on such a high that I slept less than 30 minutes the
whole night. I kept replaying the day in my head and gazing over at my
tiny, beautiful daughter.
Recovery was tremendously easier than it was with my C-Section. We were able to go home just 24 hours after the birth! My breastmilk came in almost immediately (versus the five days I took after my C-Section) and breastfeeding was a cinch. Corey pointed out how much calmer the whole experience was, especially for our baby. She had a confidence of her own that I believe came directly from my own confidence. In hindsight, the stress and fear that surrounded my first labor experience was probably a huge contributor to my inability to progress.
---
If you yearning for a VBAC of your own, build a support structure of people that believe in you. It was my sister who posed the challenge, my midwives who kept me on track with nutrition and exercise, and my husband and doula who held me up emotionally. The people rooting for me, praying for me, uplifting me, encouraging me made all the difference in the world.