So, the thing you need to know about Aksel’s birth is that I had spent a lot of time agonizing over whether to pursue a home birth or go with a birth centre, with the assumption that medicine would play only a small role in our birth experience. In the end, choice had nothing to do with it. Instead, we rode the roller coaster of real life right through a series of misadventures and into the delivery suite at the hospital. Not that anything went particularly wrong--the kid had an APGAR score of 10 just one minute after birth! But, well, let’s just say that it was all a little bit unexpected.
You see, Aksel was due to be born on July 11th, and my mom and her sisters were scheduled to arrive in London that afternoon. Still pregnant, I somehow managed to get a bad summer cold on July 10th. That must be why, when I started having contractions on the 13th, my body shied away from active labor. The pains would come every few minutes, but just when I thought they’d settled into a rhythm, there would be a huge fluctuation. After a day of this, my dear aunts suggested I try going on all fours to see if that would help. Brilliant idea. I tried it later that night. Question: Have you ever been kicked in the lower abdomen? And maybe peed yourself a little? You know, just a little?
No? (If you said yes, I’m sorry). Well, nevertheless I’m sure you can imagine the outcome of my experiment. A warm bath accompanied by a dramatic reading from The Princess Bride helped soothe the spasm, until maybe an hour later, when the doorbell pierced our calm, quiet environs with its heinous voice. It rang again and again. Upon answering it, we found out that our downstairs neighbor had water pouring through her ceiling. We discovered water under our tub, and that was the end of the bath. I rested while Soren helped our neighbor manage the mess, and then we packed up and went to the hospital. There, in triage, the midwives said my waters were definitely leaking and that I was dehydrated. I could stay and have fluids injected into my bloodstream, or go home until the following evening if I promised to drink a lot. Home we went.
We arrived back at the hospital at 8pm the following evening. Next time we’ll remember to call ahead. Shift changes and a busy night meant that I spent the next hour in a small waiting room, contracting, with a sharp, nauseating ache building in my back. At 9pm, a midwife walked us to a room with four curtained-off sections and a bathroom outside. Just before we entered, she casually mentioned that, of course, as it was a shared room, only one birth partner could stay the night. We should have anticipated this setback, but as I said, intervention wasn’t part of my plan, so of course I’d forgotten to research the standard induction procedures. When she saw the looks of terror on our faces, she quickly added that Mom could stick around for a few minutes as we talked about what was going to happen.
Once we’d settled into the 8-foot by 8-foot square occupied by a hospital bed, tray table, monitoring equipment, armchair and birthing ball, she told us that they were going to start by monitoring me for 30 minutes, but as there were so many laboring women coming in, I'd have to wait to be induced for at least six hours. Which would not have been so terrible if I wasn’t battling heartburn and a cold, if I wasn’t already exhausted from two days of relentless pain management, if the constant, needling pain in my back wasn’t teaming up with sufficiently painful contractions to shred my soul to pieces. It took less than two hours for me to give up on my plan of avoiding painkillers, but the wise midwives would only give me Tylenol and Codeine. This lovely combination took away the ache in my lumbar region, but it couldn’t cover over the latest unexpected development of the evening: back labor. Yes, that’s right. Back labor. Aksel was in the optimal position. Didn’t matter. That whole night, I laid on my side and Soren had the charming job of shoving my hip into the bed during each contraction so that I didn’t die.
Let’s not forget that I was still dehydrated. I’d tried to make good on my promise to fill up on fluids, but I simply couldn’t keep anything down. So after the loooooong night on the ward, I thought I’d managed to keep my breakfast down, but I was immediately met by my nemesis: heartburn. I sought relief in the form of a licorice-tasting substance that had the consistency of glue (they tried to tell me it was antacid, but I couldn’t hear them over the retching), however that didn’t last long, and the pressure of the regurgitation caused another type of explosion. My shorts were soaked. The floor was covered in water. I had fluid on the top of my pregnant belly. I straightened, wide-eyed, cardboard bowl of my rejected breakfast in my hands, my legs dripping in amniotic fluid. And that, my friends, was when we laughed on Aksel’s birthday.
Around noon, I guess they decided they were tired of bringing me stacks of incontinence pads*, because the midwife came in to give me a small dose of Prostin gel. She said she’d monitor me for six hours, and then I’d be given Pitocin if it didn’t work. She also mentioned something about this being a bit of a risk because I’d already started contracting and, well, once the gel is in there, they can’t exactly take it out. Indeed.
It took a grand total of 15 minutes for the breaks between contractions to diminish. In the blink of a proverbial eye, my life had become one loooong contraction, going from bearable to unbearable and back again. I managed to survive by breathing through the first 30 minutes, and then through one hour, then two hours. But then I thought it had been three hours and it had only been two-and-a-half hours, and that’s when I broke. The pain was mounting. Time was slowing. And I wasn’t even halfway through my six hours. Soren told the midwife I was done. She came in and I told her that I, the girl who had practically begged to be approved for a home birth, who had sworn that I would avoid unnecessary interventions at every turn, could not do it anymore. I told her, in not so many words, that it was time for--duhn duhn duhn--The Epidural.
Now, during this 2.5 hour stretch, I'd been given a tank of entonox (a.k.a. gas and air/laughing gas/nitrous oxide and oxygen), and I'd tried to take a breath of it here and there, but all it really did was distract me from my controlled breathing, so I’d abandoned the whole thing. Hence, after the midwife gave up trying to convince me that I could follow my birth plan and use natural pain management methods, she said, “In the meantime, put [the entonox mouthpiece] on and leave it on!"
Two minutes later, I became a true believer in entonox. Silly me, I’d been doing it all wrong! I still had to breathe through contractions, but after all I'd been through in the previous days, that was nothing! The midwife resisted the urge to roll her eyes as she told us to call her back if I felt the urge to push. Five minutes later, she was back, declaring me to be 4.5 cm dilated and ready to be transferred. Two young, cheerful midwives arrived with a wheelchair to take me to the delivery room. Like any laboring woman would, I begged them to run so that the high wouldn’t wear off before I could renew my supply. They didn’t. It didn’t.
This was around 3pm, and after that, my experience gets a bit more hazy. What little awareness the entonox spared was dedicated to pain management, but I do know that they succeeded in placing an IV for fluids on the fifth try, and it took Mom about an hour to get to the hospital. Soren says the midwives really enjoyed the playlist I’d made, but I didn't even realize the music was playing. I ended up having the urge to push before I was fully dilated, and that was Mom’s time to shine. When I was born, I beat the doctor to the hospital, but not until after my mom learned how to avoid pushing. Eventually, my dad told the nurses (certified nurse-midwives, actually) they weren’t going to wait for a doctor anymore, and that’s how I entered this world. So Mom was able to coach me through waiting until I was dilated. (Hint: Blow out! You can’t push a baby out if you’re pushing air out!)
It was actually pretty fortunate that things were hazy for me, because in these later stages, they noticed Aksel’s heart rate dropping during contractions. They called in OBs and the head midwife and discussed with Soren how low they'd be comfortable with it going, and carried on without intervening for awhile. They decided that things were not serious enough to transfer me to the "theatre" (operating room). When I (finally) reached 10cm, they had me get up and push through a couple of contractions, but his heart rate dipped so low that they wanted to get him out, stat! So they had me get in stirrups as they took away the end of the bed, and the OB who had cleared us for a home birth weeks earlier was there with some sort of cord. I was like, "Oh look, Ines is here!" in my mind. I was totally out of it. As it turns out, Ines was operating a vacuum (ventouse here), and after three pushes, Aksel came out with his hand in front of his face (“Oh, a little Superman!”). They took him to the baby station on the wall to be checked by a pediatrician, and he had that perfect APGAR score. They put him in a scruffy little hat and wrapped him in a blanket.
And then they brought him to me.
There it was--the end of life as I knew it. The end of sleep, of independence, of reckless abandon. The end of waiting, of empty arms, of deepest longing. All wrapped up in this precious, pudgy, wide-eyed little lump.
Speechless.
I was so tired, so unprepared, so unsure as to what came next. I knew what was ending, but I had no idea what was beginning. I was content with the care we’d received--the midwives had done everything they could to honor my birth plan. It was all a bit unexpected, but I’d been given the grace of time to accept the changes as they came. I held this little person who didn’t know he was a person yet, looking around for the first time, and I simply couldn’t comprehend. I didn’t feel a gush of love--that would come soon--but I felt such a glorious weight settle on my heart. My son. My son. Aksel.
Psalm 139:13-16 (ESV)
For you formed my inward parts;
For you formed my inward parts;
you knitted me together in my mother's womb.
I praise you, for I am fearfully and wonderfully made.
Wonderful are your works;
I praise you, for I am fearfully and wonderfully made.
Wonderful are your works;
my soul knows it very well.
My frame was not hidden from you,
when I was being made in secret,
My frame was not hidden from you,
when I was being made in secret,
intricately woven in the depths of the earth.
Your eyes saw my unformed substance;
in your book were written, every one of them,
Your eyes saw my unformed substance;
in your book were written, every one of them,
the days that were formed for me,
when as yet there was none of them.
*This is a joke. They finally had room in the delivery suite.