Stuff I Learned from Being a Mama #2

For the first in this series, go here.  Also, TMI ahead.

So here's part 2.  Stuff I learned during labor, delivery and postpartum.

Make sure you have a birth plan and make sure your caregiver has seen it before hand.  I didn't really need one since "home birth" sort of implies everything I would have put in a birth plan, but if you are going to a hospital, know what you want and make sure everyone there with you knows, too.  This includes informing the staff if you plan to breastfeed.

"We think the baby is too big" is not a good reason to induce.  Weight estimates taken by ultrasound are notoriously inaccurate.  A friend was told she had a baby too big for her pelvis - over 10 lbs in all probability - so she scheduled an induction.  Wound up with a c-section and a 6lb 6oz baby.  Nature knows best.  My midwife said "I have never seen a baby NOT come out".  Unless there is a medical PROBLEM, there does not need to be an induction.  It is harder on the mom (contractions just take off into the stratosphere instead of gradually build to a peak) and harder on baby, which can lead to more interventions and complications, etc. etc...

Your estimated due date is just that - an ESTIMATE.  Not an expiration date.

Less than 10 minutes before
Lucy's birth - still smiling!

You just don't know what you are going to want, what you are going to do, or how you are going to act during labor.  Be flexible.  That being said, you have the choice to allow it to be a horrible experience by being scared and tense.  Or you can choose to allow it to be peaceful and gentle.  Your mind is a powerful, POWERFUL thing.  Believing that something is going to be pleasant, easy and uncomplicated goes a long way to creating that experience.  I imagined the sensations of labor as pressure and opening, not pain.  I imagined my cervix opening, actually saying "open" and "peace" during pressure waves.  I grabbed onto the mantra "The wave always breaks" and said it over and over through deep breaths.  And it did always break.  It always passed.  It was intense.  It was challenging.  And it was fine!  Another mantra I remember repeating over and over was "You CAN do it, you ARE doing it..."  I did a Hypnobabies class and actually had no pain during labor.  Yes, that it correct.  No pain during labor.  Now it wasn't 100% comfortable, but I had no sensations that I would have called PAIN.  And how did I achieve this improbable feat?  I trained my mind to believe that labor was not going to be painful.  And my mind believed me, so my body believed me. 

The house was so quiet, calm and dark.
Perfect

Ask for what you need.

Eat.  Drink.  You need your strength. 

A waterbirth is AMAZING.  I would have stayed in that tub for the full 50 hours if I didn't need to stretch my legs occasionally.

Sing.  It relaxes the jaw, which in turns helps to open the cervix.  Ina May taught me that.  Also, singing made me feel less like a moaning cow and more like the awesome, powerful birth goddess I was.

Pushing Lucy out

Everything - EVERYTHING - can wait till you have met your baby and held your baby and nursed your baby (if you so choose).  Fight for it if you have to.  It is the sweetest, most amazing moment you will ever have.  Don't let anyone take it away to poke and prod and weigh and measure.  It.Can.Wait.

Sewing up the tears hurt more than pushing the baby out.  I'm just sayin'.

One thing that surprised me was how...disconnected I felt after that first heady moment holding Lucy.  For a LOOONG time after Lucy was born I kept expecting her REAL parents to knock on the door and tell me they were there to pick up the baby that I had been watching for them. Not that I didn't love her and take care of her and feel the instinct to protect her...but it was just so WEIRD to have a baby.  There was this total disconnect between the baby BUMP and the actual BABY.  A friend of mine said after she pushed out her baby (no drugs, so she felt everything) they put it in her arms and she actually said "Whose baby is this?"

 

Your girlie parts will hurt.  Get some rubber gloves and fill them with ice, wrap 'em in a washcloth and stick 'em right up there.  Oh, you might also want to get a supply of cheap washcloths.

 

It might take a week (or more) for you to take a shit.  And it will be more painful than giving birth. And I hear you can't get an epidural for a bowel movement.  Not one person ever told me this beforehand, but EVERYONE I have mentioned it to afterwards has said they had the same experience. All I could think of was "WHY THE HELL DID NO ONE EVER MENTION THIS??".

Maxi pads sprayed with witch hazel and put in the freezer feel SO GOOD on tender areas that have recently squeezed out a something the size of a large butternut squash.

40 week "belly"

Postpartum bleeding is nature's way of getting back at you for not having a period for nine months.  It lasts a long time and sucks.

Pregnancy hormones are nothing compared to the postpartum hormone crash.  I forgot things and cried a lot, was utterly elated and completely defeated, transported and feeling stuck - all within an hour of each other.  It passes, so just take a deep breath.  Talk to someone if you are feeling more than just a little blue.

It took a while to get over the "My God WHAT HAVE I DONE" feeling that settled over me when my midwives and parents all left.  I don't think this happens to everyone, but it don't be surprised if it does.  The enormity of my new job just swallowed me whole.  It still does sometimes, but now it is more joyful and anticipatory as opposed to a feeling of being lost at sea.

My deflated baby belly was not nearly as depressing as everyone said it would be.  Every time I looked in the mirror I just made a point of saying "You look pretty darn good, considering" and it really helped.  However, that doesn't work anymore almost a year later:-).

Breastfeeding will seriously melt away the pregnancy pounds. Melted away like butter. Awesome.

First attempt at breastfeeding...
neither of us took to it right away

Breastfeeding might be hard. Don't give up!! Ask for help! See a lactation consultant! Go to LLL meetings! Talk to a friend! There are so many resources out there for breastfeeding mamas - USE THEM! It is so worth it. http://www.kellymom.com/ is a wonderful resource for all things breastfeeding. Lucy and I had just about every newborn breastfeeding issue imaginable (thrush, cracked nipples, mastitis, tight bite reflex, oversupply, etc). Every single day I would say "I will just do it for one more day. If it still hurts tomorrow, I'll quit." I am so glad I stuck it out. It is such a joy. Of course now my daughter is a boobaholic who will be impossible to wean, but that's another story.

It took me MONTHS to realize that most of the shocking pain I had for when Lucy latched on the first several weeks was not, in fact, an incorrect latch (well, mostly, we had some latch issues at first). It was the milk letting down. OUCH OUCH OUCH! I would feel it when she latched (new mama boobs are really sensitive to a baby suckling, as they should be), but also randomly throughout the day as my supply tried to regulate. I only realized this in retrospect when the sensation mellowed out to the gentle pins and needles feeling it is now. Milk letting down can really freaking hurt at first.

Lansinoh is okay, but chilled gel nursing pads feel really really nice.

Don't get a Belly Bandit.  Worthless piece of uncomfortable (expensive) crap.  A belly wrap is not a bad idea in theory, but this one was so uncomfortable.  Plus if recently giving birth isn't an excuse to let it all hang out, I don't know what is.

Don't get an ItzBeen.  All it will do is make you obsess over how little sleep you've gotten and how demanding your baby is.  I remember looking at that thing and crying "But it's only been 45 minutes since she went to sleep!"  It made a challenging situation into what felt like a crisis.  If you must use something like this, don't use it for timing sleep.  Seriously, trust me on this one.  Newborns are not ones for keeping to a schedule, especially when it comes to sleep.  Now, if you happen to have a miracle baby who is a great sleeper from day one, knock yourself out.  It might be helpful when baby is older and you are trying to get them on a schedule.

I don't like parenting books.  They have done very little besides make me feel like a bad mom who does everything wrong.  That being said, The Happiest Baby on the Block would have been a lifesaver if we had discovered it when Lucy was a newborn. GREAT ideas and tips for calming a new baby (0-3 or 4 months).

Get a swaddler. The Miracle Blanket literally calmed Lucy down the minute she saw it.  Well, most of the time.

Everyone says "sleep when the baby sleeps".  This is good advice, in theory.  In practice it doesn't hold up as well.  not that you should take every opportunity available to sleep - God knows you'll need it - but when the baby is sleeping, you get to be JUST YOU for however long the little angel is sleeping.  And this becomes increasingly important as the gravity and enormity of your newly-acquired job starts to sink in.  So my advice is do something - anything - that makes you feel normal.  Wash the dishes.  Sit on the porch alone.  Go get a pedicure.  Have a friend meet you for coffee without the baby.  Anything that makes you feel like a normal person will do.  I remember putting clean sheets on the bed (while crying, incidentally)just to do something mundane and normal.

Get someone to come help you for a few hours every day for the first 2 weeks or so.  This would be a good time to take a nap.  I thought we would want to be alone, just me, Kevin and Lucy, for a while.  I was wrong.  I wanted to be with my new family, but I also wanted someone to make me dinner and get me ice and fill my water bottle and take the baby away for a while so I could sleep.  Kevin was too tired to do all this himself, so I was only too glad to have my mom and dad there to help.  Believe me, you will have plenty of time with the baby and your spouse.

It goes so fast.  I know it is hard to enjoy something when you have not slept, but enjoy your tiny little miracle.  They get so big so fast!

It is okay to cry for no reason.  I spent a number of days wandering around the house crying.  It was cathartic.  A little pathestic, yes, but cathartic.

Don't try too hard to enforce a schedule.  It will make you crazy.  You can try to follow a loose routine - wake, eat, activity (like staring at a mirror and changing a diaper - newborns are PARTY ANIMALS!) and sleep, but don't expect things to be the same every day for a while.  Go with that proverbial flow.

Sleeping when the baby sleeps...for once...

That being said, I had every intention of being a feed-on-demand mama.  Of course, having never done this before, I totally misread hunger cues.  Just because baby is crying, doesn't mean they are hungry.  I am going to venture out on a limb here and say Lucy was not hungry every 45 minutes.  But I fed her nearly every time she cried.  Oh, my aching (cracked, bleeding) nipples.  If I had been a little more savvy about hunger cues (rooting, turning face towards me, opening mouth when you tickle their cheek), I may have saved myself some pain and frustration.  So while it is important, especially when breastfeeding, to feed a baby frequently, every 2 hours is probably a perfectly reasonable place to start.  If they are fussy before then, it is probably not hunger.

A good thing to remember as your baby get a little older (from about 3 to 6 months) is that infants only have 90 minutes to 2 hours of happy-awake time.  They need their sleep!  That might mean 3 or 4 four naps in a day, depending on when they wake up in the morning.  90 minutes of awake time, down for a nap.  Don't push it - if he yawns or rubs his eyes, get him down for a nap - by hook or by crook, in my opinion!  I would accidentally let Lucy get really overtired and it started a vicious cycle of overtired baby not being able to sleep because she was so overtired.  It is a really hard pattern to break.  They say "sleep begets sleep" which is totally counterintuitive, but I have found it to be true.  If Lucy takes good naps, she will sleep better at night.  If her naps are crap, I know I am in for a long night.

Ask for help. Accept help. Seriously. You do not have to do it all.

The first six weeks are hard.  They just are.  They are magical, exciting, awe-inspiring and beautiful.  But they are really hard.  It will get better.

And then all of a sudden you'll wonder where a whole year went.  I hear that someday I'll turn around and wonder when she could have possibly graduated college, since she was just a baby yesterday...

Lucy's Awesome Hypnobabies Home Birth

I only wish I had some video of this.

Lucinda Belle was born at 1:01 am on Tuesday September 8th at home!

Giving birth was really the most amazing experience. There has been no time in my life where I have felt so utterly present in the moment. My body knew exactly what to do, I just had to relax and breathe and let it happen. It was incredible.

I found out I was pregnant a few days after Christmas in 2008. Because of my pelvic infection in 2005, I had to have a very early ultrasound to make sure the pregnancy wasn’t tubal. I knew I wanted to use a midwife, but I didn’t feel like I had time to research and interview midwives before finding out if the pregnancy was viable, so I started off at an OB practice recommended by my doctor. I liked the people I met there and they seemed to be a mother-friendly/baby-friendly practice (allowing mother-directed pushing, natural childbirth, intermittent fetal monitoring during labor, encouraged breastfeeding, etc.). However, each time I visited their practice, they sounded more and more like they intended to manage the delivery process in such a way as to limit my ability to allow my body to do its own thing in its own time. So we started looking around for a midwife.

I initially intended to give birth at a birth center, since our insurance would only cover midwifery services if it was provided at an accredited birthing center. However, there are only 3 birth centers in the area, and all of them were at least 45 minutes away without traffic. I wanted a midwife, but I had no desire to have a baby on the side of I-95 or on the Wilson Bridge in rush hour traffic (though that would have made for a very exciting story). And to top it all off, the nearest center didn’t even take our insurance!

I was feeling a little disappointed, thinking we would have to stick with a hospital birth. It just didn’t feel right. Having a baby didn’t seem like it should be a medical event if it didn’t have to be. And my husband Kevin and I both hate hospitals. That was when my sister KB sent me a book called Baby Catcher: Chronicles of a Modern Midwife about a home birth midwife. I devoured the book in a matter of hours and was utterly enthralled with the idea of a home birth. It was something I had never even considered, but it seemed so completely right that Kevin and I decided to make it happen. We found Erin and Mairi on a natural childbirth forum and we never looked back. I felt like I was being cared for in a way I have never felt with any doctor – like I was a part of their family. It was a wonderful experience.

On Friday September 4th, I was just past 39 weeks pregnant and DONE with it, but I figured I had at least a week to go, maybe more. That afternoon, I had a prenatal massage from my friend HM and she tweaked the acupressure points that are supposed to stimulate labor. That night, I had a few really strong pressure waves that woke me up, but they tapered off and I fell back asleep. The next morning I had some spotting which made me pretty hopeful that the massage had done its magic and that the baby would be on the way soon!

The next day, I went for a long walk in the morning, hoping to get things started back up again. I visited with Kevin and T who were playing tennis in Sligo Creek Park; I chatted on the phone with family, returning calls that I had meant to return for a number of days. It felt like I was tying up some loose ends before the baby arrived.

I started having the first “real” pressure waves around in the evening of Saturday September 5th. I was hopeful, but not really thinking this would be it. And of course, it wasn’t. I tried to go to sleep that night, but the pressure waves were about 6-7 minutes apart and consistently lasted 90 seconds or more, so it was very hard to sleep for 5 minutes at a stretch. I called Mairi around 2 am to check in and let her know what was happening and she advised me to try to get some sleep (of course), take a warm bath and check in again in the morning. We filled the birth pool and I sat in that for a while, and it spaced out the waves to where I thought I might be able to get some sleep…but I was pretty much up all night.

By Sunday morning they were strong and regular, so I called my midwife and my parents, thinking surely things would pick up now! My parents arrived around noon and one of our midwives, Erin, came around 4 pm. Erin checked me and I was 90% effaced but only 3 cm dilated. And things promptly slowed way down again. The pressure waves never really stopped coming less than 6-7 minutes apart after that, they just lessened in intensity, to the point that I could doze through many of them. I was using my Hypnobabies techniques and I was generally very comfortable, just getting tired at this point.

Erin stayed with me all night. When she checked me again around 10 pm and I was still only about 5 cm. We both decided the thing I needed was sleep. She sent Kevin out with a prescription for Ambien and I took one…and I have never had such weird, psychedelic dreams in my entire life! At first, I thought I was still awake and that there were cars driving all over our bed with weird plant-like growths all over them, ala Dr. Seuss. Then, each pressure wave I had while I was sleeping was associated with some random object. There was the car wave (it was a tan Dodge Ares circa 1989), the lamp wave (a tall, tassel-fringed old fashioned lamp) and the blue-fabric-falling-out-of-my-belly wave (these were actually really nice, and I strangely looked forward to them). They kept repeating themselves over and over and I remember thinking “Not the car wave again! Those are the hardest”! It was utterly surreal and the imagery lasted well into the next day.

At around 4 am I couldn’t sleep anymore and got into the tub, which, of course, slowed things down considerably. The waves were still very strong and long, just not coming at regular intervals. I sang my way through over an hour of contractions – for some reason singing felt better than moaning or doing any special breathing. I was having heavy pressure in my back so Erin checked me and said the baby’s body was in the right position, but her head was tilted up so it wasn’t pressing on my cervix effectively. I was still only 6 cm dilated after more than 36 hours. We walked the stairs and shook my hips for 30 minutes with no changes. Erin left around 3 pm and her birth assistant Susan took her place for a while. We paced the house and walked up and down the stairs for an hour. This sped things up while I was walking, but as soon as I sat down to rest, they slowed way down again.

Kevin was getting pretty worried about me at this point. It had been about 40 hours since the first pressure waves started; I had barely slept and seemed to be making little progress. Kevin wanted to go to the hospital, but I knew that I was too tired to deal with any chemical augmentation of labor and would probably end up with more interventions than I wanted. We decided once again that I would try to rest, so Kevin and I sent Susan home, I had a glass of wine, slept for 90 minutes (no psychedelic pressure waves this time) and I woke up around 6:30 in transition (Thank goodness!). The waves were finally coming regularly and strongly and not stopping or spacing out! They felt completely different from the warm-up, but the only transition “symptom” I felt was an increase in the feeling of energy flowing through me and uncontrollable shaking. The waves were very close together, and very intense but I was still able to stay relatively calm as long as I could move or sing through them.

Kevin called Mairi (our second midwife). I had been feeling pretty pushy for a while and remember sort of moaning “WHERE’S MAIRI??” My dad had been struggling for an hour to get the tub hot again and I was worried that I wouldn’t be able to birth in the water. When Mairi arrived around 7:30 pm on Monday night, she checked me and I was 9 cm dilated and fully effaced, so they had a little time to get the tub hot for me. I got in the water about 10:00 pm when my water finally broke. I started pushing around 11:30 pm. Time sort of suspended for a while there. I didn’t have to do anything or think about anything – just let my body do its work. I just relaxed, breathed and allowed the energy to move. It was nice and dark – the only light came from the candle and a red lamp, so the room was very comfortable and safe feeling. My dad had my sisters Karyn and Lynette on speaker phone so they were listening in – the next best thing to having them actually there at the birth, I guess.

I pushed for about 90 minutes. I don’t think I gently breathed the baby down the way we were taught in my Hypnobabies class, but I had very little control over how my body was working at this point. If I tried to control my voice or the way I pushed I felt like I was blocking the flow of energy that was literally steamrolling through my body. I was very, very loud, though and it felt SO GOOD to just let go of my mind and let my body work. The baby came down at first in a little ah-ah-ah-ah’s and then in loud, more sustained AHHHHHHs and grunts. At one point I really thought I sounded like a sick cow and that thought made me laugh out loud. It was amazing to feel the baby moving down! Everyone was so supportive. Erin kept telling me “You have plenty of room, you are opening beautifully”, which was so needed – for some reason my biggest fears was tearing badly.

Kevin was right beside me watching the baby come out and whispering encouragement to me the whole time. The head kept pushing down and then sliding back up after each wave – two steps forward, one step back! I think at one point I sort of growled “GET OUT!!” as I felt the head slide back up once again. When I finally pushed the head out around 1 am (what a strange and wonderful feeling that was!), we saw what had really slowed things down – Lucy had her hand up on her cheek! That had made things a lot more slow and difficult. The head slipped out beautifully without any tearing, but with the elbow coming out where it did, I ended up with two labial tears and a minor perineal tear. I guess the good part about that was I didn’t feel it at all. There was no “Ring of Fire” when she crowned at all – just a tingling and stretching feeling. I pushed the rest of her out in really quickly – even though my first instinct was just to stop after the head was born (that was a lot of work)! Lucy had her cord wrapped around her neck, but otherwise was perfect and beautiful.

I had my baby girl in my arms at 1:01 am on Tuesday September 8th. She opened her eyes immediately and looked around at everyone in the room for a full minute before she started to cry. It was so incredible! I thought I would recognize her – after all, she was so close to me for so long – but she really seemed like a little stranger in my arms. It wasn’t what I expected at all. I think I was more in awe of the fact that there was a BABY in there this whole time! The water in the tub was pretty high, so I got out of the tub to keep Lucy’s face out of the water. I birthed the placenta on the bed about 15 minutes later. Kevin cut the cord and we just stared at her for the longest time…before we realized that no one had even checked to see if she actually WAS a girl! She is so incredibly beautiful and we love her so much I can hardly stand it. We saved the placenta and are going to bury under a tree in the spring.

I am so happy we had her at home, exactly the way we wanted to. I would recommend a home birth to anyone – along with the Hypnobabies class. People have said that giving birth at home, without the opportunity for pain medication, was “hard core”, or some sort of feminist form of machoism, but frankly, I didn’t once wish I had an epidural. I never felt like I was doing anything that wasn’t completely natural and normal, and I never wished I was in the hospital. Birth is a natural and normal process and women’s bodies are designed to do it! I think women today are so bombarded with horror stories of childbirth that they are completely terrified of it and make it much more difficult than it has to be. Eliminating that fear goes a long way to eliminating pain. I also think that women don’t know that they have a choice – you don’t have to give birth in a hospital if you have a normal and healthy pregnancy. There is rarely a reason to manage the natural process. Taking the power away from the mother does not improve the outcome. The female body actually does know best almost all of the time. Childbirth does not have to be a medical event, and it has the potential to be the most empowering and beautiful thing you ever do.