Showing posts with label home birth. Show all posts
Showing posts with label home birth. Show all posts

Wednesday, June 1, 2011

Trusting birth...

I don't pretend to know the ins and outs of the Trust Birth movement. I know there is a lot of controversy and drama surrounding it, and so like most things in the natural birth and parenting circles, I tend to stay on the sidelines with my mouth shut. I don't like getting pulled into drama. I hate it, in fact. And if the choice is perhaps missing out on a group of kindred spirits (or people I can't stand...) in exchange for not being privy to drama, I'll happily miss out.

But, being a home birther, I hear Trust Birth a lot, in both good and bad context. Home birthers are not all hippies pulled from an SNL skit. There are people who home birth but are just as ok with the idea of an elective c-section with no medical indication. Home birthers who don't like their local hospital otherwise they'd be in line for the epidural in their 38th week! And yes, home birthers who feel that any presence besides their own (including their partner, a midwife, a doula, or children) is detrimental to the birth process. We, like any group of people, run the gamut.

Me? I trust birth...to a point. TO me, it means I trust birth like I trust breathing. Keep in mind you are reading the blog of an asthmatic who has had very severe attacks. I trust my body knows how to breathe, but I accept it doesn't always do it like it should. Just like I trust that my body knows how to give birth, but I accept that it doesn't always happen like it should either. There are conditions and complications.

If I have an asthma attack, I use the resources at my disposal to remedy the attack. Sometimes that means natural remedies. I drink a glass of black coffee. Sometimes it means using my nebulizer here at home. And other times it means hauling my wheezing butt to the hospital because I know that getting my lungs under control is beyond what I know how to do at that point.

Similarly, I can give birth. I've done it three times, and done a fantastic job if I do say so myself. My body labors quickly and efficiently and I've been blessed to have no complications and easy recoveries. I have no doubts I can give birth a fourth time. But, I have breathed with no issues for the vast majority of my 26 years. It's just the few times I didn't that could've been a big problem.

I guess I'm saying that yes, I trust that my body knows how to grow and birth a baby. I also trust that just like I know when I need help during an asthma attack, I will know if I need help during birth. For me, the process would be different. I personally would not try home remedies first, then medicine at home, then hospital. If I were in labor and had anything that was *off* from my other births, I would not hesitate to transfer. I know this seems highly alarmist to some, and highly crazy to others who don't think a mother will always know.

I also trust that with birth, like anything else in life, there are no guarantees. If I consent to a hospital birth with all of the interventions that are in place to save mothers and babies, guess what? My baby or myself may still wind up seriously injured, ill, or dead. Maybe because we were in the hospital to begin with, and maybe because sometimes bad things happen that we have no control over.

At home, whether with an attendant or without one, same thing. Staying home takes away some risks, but (ducking from home birth advocate's rocks here) it does create others. If baby or I wound up injured, ill, or dead at home it may have been because we didn't go to the hospital. It may have been because for reasons unknown to us, it was just time.

It is a reality that, frankly, sucks. There are no guarantees in life. Life is full of unknowns and risks and benefits. It is scary. So how do we really trust anything? I think rather than trusting birth, or breathing, or any other natural process, we need to first trust ourselves. Trust in God, or whatever spiritual source you look to (if you do at all), that we have the ability to handle the unknowns that are thrown our way. That we are smart enough to do our research and prepare ourselves for what we face in life whether it be parenting, birth, our health, finances, relationships, any of it. And that we can look at the risks, look at the benefits of all our different options and know which has the risks that are acceptable to us.

So, maybe I don't trust birth after all. Maybe instead, I just trust...Me.

Sunday, March 27, 2011

Shock and Awe

A week and a half ago, we got a big surprise- we're expecting baby number FOUR! This came as a shock since my cycles weren't regulated and I am still breastfeeding six to ten times each day. Its definitely a welcome surprise. We really have everything we need for baby, except for a few diaper covers that I plan to crochet, so I get to just relax and focus solely on growing this new life that's inside of me.

Pregnancy symptoms are few but noticeable. I'm very nauseous, especially before 10AM, and around midnight. I have to use the restroom a LOT. I'm exhausted all the time. As annoying as these sound, I am grateful for each of them. After multiple early losses, you learn to find comfort in any sign that your body is safely growing this particular baby. I'm 5.5 weeks, so these are about the only noticeable symptoms I could be having anyway. I start showing early, so am enjoying these next few weeks, as I'm normally in maternity clothes from week 12 or so.

After talking with my husband, praying, and talking to good friends, we are committed to the idea of birthing unassisted (UC; unassisted childbirth). This will be our third homebirth, and our second unassisted birth (the first was unintentional and the midwife was on her way). We knew right away that going anywhere else to birth wouldn't be smart for us. I am blessed and cursed by precipitous labors. Blessed because they're nice and quick. Cursed because they are often intense, and because it means if we choose to leave home for the birth we face the real possibility of a car labor. Which is something that even though we prepare for it (have an emergency birth kit in the van from 36+ weeks), we'd like to avoid. We don't live far from a hospital but would have to wait for hubby to get home from work, someone to get the kids, etc. And precipitous labor in and of itself does not justify to us the risks that come with getting induced just to ensure we're in a "safe" place for the birth.

We've had a hospital birth, an unintentional unassisted birth (our best birth thus far, even with the hardest labor!), and a midwife assisted birth. I labor best alone. Even in the hospital (my longest labor- six hours), I sent hubby to the main room while I was in the tub alone for the majority of active labor. Our first UC hubby was there with me for a lot of the labor. Baby was posterior until the very end and transition was long while she rotated to anterior. I needed his support. Hip squeezes, hanging off his shoulders, etc. But once she turned, I again preferred to space out and be alone. This last birth I was alone for the first half hour, one fourth of the total time I was in labor/birthing. The rest of the time my husband, the midwife, her assistant, and even our then 4 and 2 year olds were around. But I did have another 5-10 minutes alone in the bathroom at that time.

We both are educated, and will further educate ourselves, on childbirth. We'll also both be taking a neonatal resuscitation and CPR course. We plan to see the doctor we used for backup with our homebirths for prenatal care and if we feel its necessary to transfer. I'll likely rent or borrow a doppler to have around during the birth in case labor is longer than we expect, we can check on the baby.

Expect a few posts in the future dedicated to the pregnancy, but not a ton. This isn't a pregnancy blog. I will definitely be posting our maternity pictures when we do them. I am excited to do shots in the World War 2 pinup girl style along with some more traditional shots. I may also do some about our birth kit, hypnobirthing, and preparing to tandem nurse for the second time.

One of my favorite resources for information on UC is BornFree!, a site from Laura Shanley.

Saturday, May 8, 2010

The birth of Lucy Navene

Prodromal labor set in at the end of February, at 36 weeks pregnant. I'd have hours of hard contractions that would pitter out to nothing. I wasn't too concerned. My other pregnancies lasted 36 and 37 weeks. Nobody expected me to go past 38 weeks.

38 weeks came and went. And as irrational as it sounds, it was at this point where I started to feel like I'm guessing other women do when they go past 40 weeks. I know that worries about personal topics and childcare for the big girls wasn't helping my body relax and focus on birthing.

39 weeks passed. I tried acupuncture. Nothing but the continued prodromal labor. I was becoming severely sleep deprived. Contractions started after the big girls were in bed, and did let me sleep until just a couple hours before they woke up. I was cranky. The Clary Sage oil I was using helps balance emotions, but mine were strongly leaning to the "raging psycho" side.

We come to 39 weeks 5 days. I freak out yelling at the girls for being too loud, then break into hysterical sobbing for having done so. I scared Kelton. I was exhausted, physically and mentally. I'd stopped answering the phone days before, and pretty much limited all communication to Facebook. Because its easy to ignore.

I went back to the chiropractor and he did acupuncture again. This time with 12 points instead of 6. When I got home, I took a nap. Woke up for a bath. I wasn't angry, but was still very weepy. I told Kelton if the baby wasn't here by Friday I was getting induced or committed one. And I didn't care which.

I took some tylenol pm and the big girls and I headed to bed at 9:30. I woke at midnight and got up to eat. I decided to vacuum while I was up. Since the contractions I'd had when I woke up stopped, I went to bed at 3 fully convinced that I would be pregnant forever. I prayed and journaled my worries to get them out.

At 7:48 am I woke up with a strong, painful contraction. The big girls were asleep, so I got up and took a bath. The contractions were 3-5 minutes apart, and the bath didn't relax them. They were getting progressively stronger, but I was able to breathe through them easily.

At just before 8:30, Kelton got home from work. I told him I thought this was it and he called the midwife. I had him get the birth ball and rocked on it. Contractions were getting stronger and I began to vocalize through them.

The midwife checked my dialation when she arrived. Even though I know it means nothing as far as labor goes, I wanted to know where I was. 4cm. This made me happy because getting to 4cm seems to be the hardest part for me.

I had some more contractions while the midwife set things up in the bathroom by the tub. Reese had woken up, so Kelton was tending to her. The midwife's assistant arrived and got me some gatorade. After this, her and Kelton traded off tending to the girls in Anna-Lee's room.

I had to pee, and had 2 contractions while doing so. My vocalizations were different, and I could feel my cervix dialating during contractions. When I was done, the midwife asked to check me again. 5cm. I thought at least 45 minutes had passed, so I was disappointed. The midwife had her assistant get the tub ready with more hot water.

I got in the tub. I started to get contractions on top of one another. The midwife was reassuring me, putting wet washcloths on my neck and forehead. Kelton was also by the tub, and I know during one contraction I had him do really strong counter pressure. After the 3 hours of strong back labor with Reese, he knew to do it much harder than most people would think a girl my size could handle. I felt her turn anterior. And then I felt pushy. I asked to be checked, because I pushed when I wasn't ready to push with Reese, and it made recovery harder. I was 7cm! A lot of progress in very little time. Maybe 10 minutes.

Shortly after, I started screaming that I couldn't do it. And even as the words were coming out of my mouth, I felt relief. This was my standard transition moment. With Anna-Lee, I asked for an epidural. With Reese I said screw an unassisted homebirth, call the ambulance. This time I just said I was done.

Contractions slowed. They were less intense, and I groaned during them, pushing. In between the midwife put cool water on the back of my neck and Kelton gave me sips of gatorade. I talked to Lucy, telling her we could do this, that she was doing a good job, etc. As I pushed, I visualized her coming down the birth canal.

After 2 or 3 pushes, I felt the "Ring of Fire." And almost started laughing, as the Johnny Cash song began playing in my mind. I could feel her head with my hand. I kept waiting to feel the POP! of my water breaking. It was something I distinctly remembered from Reese's birth; that sound. I didn't hear it. Her head was out after that contraction. I could hear the midwife's assistant telling the girls the baby was almost here, and heard them in the hall giggling. It was a rejuvenating sound.

Another contraction came. I reach down while pushing and caught her as she slid into my hands. I tried to pull her up to me, but had difficulty. The midwife pointed to the cord around her neck. We both reach down and unlooped it. It was also under her arm and between her legs!

She was here! I couldn't believe it. After almost 40 weeks, I had my baby. The pregnancy was difficult. Whiplash, morning sickness, chronic sinus infections, 2 cases of the flu, a stomach virus,spd, and prodromal labor. I'd enjoyed the other pregnancies. I'd survived this one.

Lucy latched on pretty quickly, and her placenta came out quickly without effort. We got out of the tub and the midwife checked me. A small tear, nothing requiring repairs. Lucy was checked out and was, of course, perfectly fine. We settled in on the couch for rest and snuggles. Kelton got me a protein bar and beef jerky. That, along with a shot of floradix made me feel better.

She was born at 9:58 am on March 23. 6 pounds 13 ounces and 18.5 inches.