On the night you were born

On the night you were born
For my daughter, Ruth
-Christina Terrell

Despite my gynecologist gently joking that he’d never known anyone stay pregnant forever, I was convinced I would. While it was exciting to know I was creating your life, I felt miserable overall like a prisoner held hostage in my own body. At any given moment of the day, you could find me shoveling Oreo Blizzards into my mouth or crying in the bathtub while listening to Velvet Underground. I was a walking (err, hobbling) parody of a pregnant woman. The last few weeks were especially rough as I piled on the weight I’d avoided gaining during the earlier months. (Your Dad had to heave me out of bed in the mornings. Talk about a loss of dignity.) Worse, I started to grow increasingly anxious about the things that could go wrong. What if your umbilical cord was choking you or you had a foot growing out of your chest? What if you were stillborn? What if it hurt real bad and I couldn’t handle it? What if you had a penis AND a vagina? What if I died? What if, what if, what if…I wore your Dad out with hypotheticals. He patiently repeated the same words he’d been telling me since we found out about you: Everything’s gonna be fine, Gink.

Determined to have an un-medicated, non-induced birth and give you your first shot at autonomy, I gently toyed with a few old wives tales thought to thin the cervix and get things going. I took Evening Primrose Oil capsules with every meal. They gave me hot flashes and nightmares. I ate pineapple so often that the acid roughened my tongue.  I kept going to prenatal yoga and walked the dogs ‘til I felt like your head was going to pop out between my legs. You were due Monday, February 16th, but I often referred to this date as arbitrary assuming since you were my first born you’d be a little late. I think I remember reading somewhere that only 5% of women give birth on their due date. Also, my doctor was on call that day and always a pessimist I figured there was no way things could be that convenient.

It was unseasonably warm on Valentine’s and I took Billie to the river for her birthday while your Dad was at work. She swam in the Cahaba and made friends with a large pit bull named Max. Max’s owner asked me when I was due. “Monday,” “What are you doing here! Go home! With my first born I walked two miles and a lady told me to go home and take a shower and I’d go into labor,” “Did you?” “I did.” Max got to playing too rough and I hoisted my heavy body out of the river spot via tree swing rope, ate a Big Mac and disgusted with myself climbed back in bed. I just didn’t think you were ever going to come.

The next night, I was lying in bed with your Dad and the dogs when something felt a little off. At this point, I was overly honed into my body assuming any and every weird feeling could be the beginning of labor. You can imagine my excitement when I went to the bathroom to see a clear, odorless liquid running down my leg. I called your Dad into the bathroom and asked him to examine it. He thought it was my mucus plug. I thought it was my water releasing. We consulted Google and still unsure, went to bed. Around two in the morning, I started to feel cramps radiating from my back to my stomach. I remember smiling and telling myself to get more rest. At five, I woke up to pee and saw my bloody show! I was basically dancing back to the bed, again forcing myself to rest more. By 7:30, the contractions were coming on strong. Contractions aren’t something you can explain. You can read about them and imagine them and wonder if they’ll be like your period cramps or like eating bad Mexican food, but no matter what you can’t know them until you are having them and once you are having them, they are impossible to miss. I crawled on all fours on the heated dog bed and rocked my torso on the exercise ball. When they would get  intense, I’d shove my face into the corner of the room and my mind would take off, visualizing a variety of scenarios. In a lot of them, I saw you as an older child, frolicking next to me. We were at a farm and you were giggling and petting goats and then we were in Italy, cruising around on a river in a boat shaped like a goose. I also imagined a roller coaster, cranking up and up and up and as the contraction came to an end, the carts would fly down hill. I closed my eyes and breathed through each one, excited that the time was now and determined to have a positive birth experience.

 In between contractions, I downloaded an app to time them and crawled in bed, gently touching your Dad on the leg. I wanted to let him sleep longer but this was real! This was it! We were going to meet you! Our daughter! And on your due date, no less! “I’m in labor,” I smiled. He later admitted to not fully believing me. I tried to hold off on texting our doula, Kelly, but excitement got the best of me and I went ahead and told her I was in the throes of contractions. She started to make childcare arrangements and by ten she was in the bedroom with us, complimenting my breathing and how calm I was handling everything. This gave me a much needed confidence boost. Look at me. In labor yet cool, calm and collected. Go on, brush your shoulders off.

The hours spent laboring at home feel fluid and weird, like time was stopping and simultaneously moving faster. Your Dad made me a grilled cheese sandwich and poured me a glass of wine. The dogs were confused and I felt annoyed by them but I still wanted them near me. Kelly explained how changing positions could speed things up, but warned me the change would be jarring and might be more intense for the first few contractions. They definitely were. I walked around the house and upstairs to say hey to the cats, pausing to lean over onto counters, tables and couches as a contraction waved over me. Speaking of waves, I had a lot of visions of the ocean. I also thought about your great-grandmother and envisioned myself a variety of female animals birthing. I was a cat having kittens. I was a mare delivering a filly in a cozy, old barn on a rainy day.

Around two, Kelly suggested that the intensity and timing of my contractions made her believe I was dilated enough to get in the birthing tub. Zak excitedly packed the rest of our things into the car and I hobbled outside, placing my knees in the passenger seat and holding on to the back of the chair. Every minor bump we hit spurred awful, painful contractions. I tried not to get mad at your Dad. I knew it wasn’t his fault, but I wanted very badly to cuss him because it felt like he was purposely hitting every single blemish on every single road. In hindsight, I’m happy it happened this way because I was able to keep my progress while changing environments.

Walking into the hospital, everything was so cold, white and sterile. The girls at the front desk almost looked like they were disgusted with me. I was ushered into the room with the birthing tub and soon met an awful, rude nurse who clearly was not interested in working with a natural mom. She checked my tonsils via my cervix and determined I was dilated to nearly 6cm and effaced 90%, which cleared me for getting in the tub. But first, she made sure to rudely talk to me during contractions, insisting she couldn’t take my pre-registration paperwork I had completed online nor would she accept the printed copy that I had brought with and instead demanded I answer everything verbally. I remember Kelly taking up for me and saying that I completed everything beforehand to avoid being asked these questions. I slid into the tub and tried to ignore her. I swear the contractions hurt worse when she was around. I had high expectations for the tub and while it felt good, it wasn’t as immediately relieving and relaxing as I had hoped it would be. I labored in it for probably two hours, but maybe twenty minutes, as at this point in the day, time was completely irrelevant to me. The shower was actually much better and I braced myself on all fours on the bench and let the insanely hot water wash over my back. I most definitely had a back labor and it worried Kelly that your head was in a bad position, but luckily you were cooperative.

A new nurse, this angel of a woman named Jeri, came into our room and informed us she would be taking over the night shift. I immediately loved her. She was so sweet and nurturing—definitely a breath of fresh air after the other homegirl. Kelly and your Dad had been offering me Gatorade constantly throughout the day and it worried Kelly and Jeri that I couldn’t urinate. Kelly said sometimes a cervix wouldn’t dilate with a full bladder. I kept going to the bathroom and sitting on the heated toilet seat, enjoying the few moments of privacy it afforded me. I caught a glimpse of myself in the mirror. I looked like a monster, but in a good way. I looked tough. I was tough. I just couldn’t pee is all. Your head was making me feel like I had to boo-boo, so I abandoned the pee efforts and went back to try new positions. Some of the contractions were incredibly intense and your Dad became skilled at alternating a heating pad on the small of my back while I was in the thick of one and then cooling my upper back off with a wet washcloth as soon as it ended.

He and Kelly massaged me with almond oil and reminded me to relax my jaw when I clenched it too tight. Dr. H sent me some popsicles and I remember greedily slurping down a lime flavored one. I also snacked on granola bars and crackers throughout the labor to try and keep my energy. Jeri asked when my water broke and we explained that I had the small trickle but never a big gush. She examined me and said you were still wrapped in the amniotic sac and asked if she could have Dr. H break my water. I was terrified of the amniotic hook (it looks like a crotchet needle!) but agreed. As soon as he broke it, I felt a HUGE wave of relief.

Around this time, with my face pushed into the back of the hospital bed, I remember thinking to myself, “I can’t do this,” but I refused to verbalize it. I felt like saying it would make it real. I also remembered reading other women’s birth stories and how this was a common feeling to have at the later stage in labor. Then I thought…oh my, are we nearly done with this? I also didn’t want to ask questions like that though. The only thing that mattered was the exact second we were living in. But gah, it was getting hard to keep this up. I pushed the thoughts away. I told Kelly I wanted to get back in the tub. Jeri said she didn’t know if I could because she believed I was dilated too far. (At the hospital where we had you, you can labor in the tub, but you can’t deliver in the tub. You can get in after you’re dilated 4cm but you can’t get in past 7cm.) She asked if she could call Dr. H in to check me. I agreed but tried not to get my hopes up too high. I thought I heard him say 9cm, but I couldn’t believe it. I asked them to repeat it. Nine! He said he was ok with me laboring down or practicing pushing. It was really almost time to meet you!

Up until this time, I had used just about every part of the room to labor. I’d been in the bed inside my body pillow, on exercise balls and peanuts, in the shower, the toilet, the tub. I’d done squats while bracing myself on the bar that pulled out of the bed. I’d leaned against your Dad, though I kind of hated this position and felt like I was going to break him. I’d been on all fours, I’d been on two feet and now they were suggesting I get on my back. “Heck naw,” I thought to myself, but the suggestion was actually really good. It wasn’t laying flat on my back like you see in movies, but instead, the bed folded into an upright reclining position and I was able to rest my back against the top part in between waves. My bottom half was positioned at an angle to make it easy for you to slide out. Here’s the part I loved most though—the way my birth team supported me during pushes. The bar at the bottom of the bed was pushed up and Kelly stood across from me and draped a twisted sheet over it for us to play tug-of-war. As the urge to push came on, she and I would tug as Zak would help lift my legs back and Jeri would place her fingers inside of me, encouraging me to try to push them out. In between urges to push, I would pull your Dad down to me and we would kiss. His kisses were like a drug, filling my body with oxytocin and allowing me to envision my vulva opening like a sheela na gig. This became a steady routine. Tug and push then be rewarded with kisses. And here’s something worth mentioning: I definitely didn’t expect pushing to feel good, but oh my goodness, it did. It hurt too, don’t get me wrong, but it hurt in an amazing way. I had envisioned it would be worse than the contractions, but it’s a totally different sensation all together. This gave me a boost, along with the positive reinforcement I was getting from your Dad, Kelly and Jeri who kept telling me how strong I was and what a good job I was doing. Around this time, Jeri told me she could see your head and that it was covered in hair! This wasn’t much of a surprise considering I was plagued with wicked heart burn nearly the entire pregnancy, but it was exciting to know you might look like all the visions I had of you: tiny, covered in vernix with dark hair. “What color is it?” “It looks dark.” I smiled to myself.

We continued our pushing routine. At one point, they told me you were trying to make your way down on your own, sans contraction. You were trying to help get here sooner! I really appreciated that! Not much later, I overheard Jeri tell Kelly she thought it was nearly time to call the doctor. I was so excited to meet you, but I still couldn’t believe this experience was close to over. I just couldn’t let myself get my hopes up that it would be over soon because I worried something could easily snag and cause it to drag on longer.

Dr. H came in the room and asked Jeri to turn off the “French fry light” overhead. I was grateful. Earlier in labor, I had asked to wear my eye mask but it was short lived. He began to vigorously massage my perineum, telling me how tough I was because even women with epidurals sometimes complain about it. I accredited it to your Dad rubbing my perineum with coconut oil at home every night for the past two weeks. Unfortunately, I still ripped and gave myself a second-degree episiotomy. I felt myself split and it was so painful, I was sure it was you who had slithered out of me. I even looked down to see you, but you weren’t there. Luckily, I tore the push right before you made your appearance because it was seriously uncomfortable. Your Dad leaned forward to kiss me again and said “Just one more!”

I didn’t know if I could believe him or not, but I wanted so desperately for it to be true. I couldn’t wait to hold you, meet you, to stare into your sweet little eyes. Sure enough, on the next push, there you were—dark haired, tiny, and covered in vernix, exactly as I’d pictured you. I immediately burst into tears. You were crying. Your Dad was crying. Kelly and Jeri and Doc were crying. Doc thanked us for reminding him why he got into his profession to begin with. We were all crying happy tears, telling you hello. Eager for our skin to touch, I held you on my chest and you immediately latched on to my breast. And that’s the story, Baby Girl, of the night you were born and the moment we first met.

Second VBA2C - with TWINS!

VBA2C with TWINS? Everyone I talked to asked me crazy questions like "why not just have a repeat section with twins?" and "are you going to try to have them natural?" Well, I had my last baby naturally as a VBA2C so why not? See, I'm a great candidate - at least that's what I was told. With 2 vaginal deliveries before my 2 c-sections, I was told I was a great candidate to VBA2C baby #5 and I did -- all natural with the help of an awesome husband, fabulous nurse and a wonderful doula, Fredia Nelms. So, when I found out I was pregnant with my 6th child, I had no doubt I would VBA2C again. Then the ultrasound technician said twins and my heart sank. Would I find a doctor who would LET me VBA2C twins? So I went out searching for that healthcare provider who would let me birth these twins the way I wanted to. After consulting with one that I was happy with but not happy with the hospital, I discussed it with my husband, Ricky, and decided I felt it was best to return to my previous practice and ask the doctors there how they felt about it. After all, they had allowed me to VBA2C once so maybe they would again.

At my first visit with Dr. Ross, he brought up the discussion about VBA2C the twins and said he saw no reason I couldn't do it. I was beyond excited! Obviously he would need to discuss it with his partners to make sure everyone was ok with it, but I had hope! At my next visit, I was informed that all partners were on board with me attempting a TOL (trial of labor) with these twins!! I knew then that God had answered my prayers and all would be ok. My pregnancy progressed well and without complications. I had what the doctors considered a "textbook" twin pregnancy. No complications, worked up until I went into labor and really didn't feel too uncomfortable until about a week before delivery.

Labor started and stopped several times in the last week of my pregnancy however, at 38 weeks I thought the real deal was here. I was already dilated to 3cm at my last checkup and when the contractions started coming, they started coming hard and fast. I labored at home for hours and finally decided to head to Brookwood on Friday evening. When we got there, I was only dilated to 4cm but it was progress and I had hopes it would continue - and quickly since I was so uncomfortable. Boy was I wrong! I labored all night Friday night with Fredia helping me to get in different positions to encourage baby A to come down more, but by Saturday morning, things had fizzled out and it was time to decide what to do. So I walked, and walked, and walked the halls of L&D at Brookwood. By Saturday afternoon, I was 5cm and almost completely effaced. Since things were continuing to progress, Dr. Adcock was willing to discuss some "induction" options. Ricky and I discussed our options and decided to try to break my water and start some pitocin. Mind you it would be a tiny dose of pitocin but maybe that would be all I needed to kickstart my body and get things moving along again.

Around 9pm on Saturday evening, Dr. Adcock broke my water and started pitocin at the lowest rate possible. At this point, I was about 5.5cm and almost fully effaced. Labor wasn't nearly as unbearable as it was the last time. Maybe it's because I was better prepared and knew what to expect, I don't know. I progressed well and stayed pretty relaxed - even joking with Fredia, Ricky and Kelly (another doula who had come to help). Both Fredia and Kelly attempted many different positions to help the process and kept the mood light. Of course, that's until I got to around 8cm -- then it started to hurt! Dr. Adcock had been insistent on placing an epidural catheter to have in place in case an emergency arised and I needed an emergency c-section. See, by having the catheter in place, it would be easy for the anesthesiologist to just "turn the pump on" and boost me with numbing meds so I could be awake for the birth of my babies. This made sense and I was fine with that but really wasn't thrilled about the "test dose" they would have to do to ensure the catheter was in the right place. But by 8cm, when the pain was getting unbearable again, I decided we could do the epidural test dose and then turn the machine off. That might help my body relax enough to get my cervix complete and bring my babies faster. Around 1:30am on Sunday morning, the anesthesiologist came in and placed my epidural catheter. After he gave me the test dose, my blood pressure bottomed out and I blacked out. Once I was conscience again, I noticed the epidural was still running and asked it be turned off. My lower half was numb so I decided to try to take a little nap to get the energy I needed to finish what I had started. Fredia got me the "peanut" ball and put it between my legs and I took about a 30 minute snooze.

I woke up to feeling pressure and realized baby A was going to make his entrance very soon. Thankfully, I couldn't feel pain because of the epidural test dose but I could move my legs so I was pretty happy about that. I told the nurse I felt baby A was coming soon and she checked. Sure enough, I was complete and baby A was +2 or +3 station --- he was coming really soon. The nurse started getting things ready to move me to the OR. She was taking her time getting stuff done though and I told her then we weren't going to make it there. He was coming now! In the end, we emergently moved to the OR with the nurse riding the bed with me holding baby A's head in so he would not be born in the hall.

Dr. Adcock came in the OR. The room was packed with plenty of nurses, the anesthesiologist, my two wonderful doulas and Ricky right by my side. With very little pushing, obviously, baby A was born at 2:55am. At my last doctor's appointment, an ultrasound had revealed baby B had flipped and was breech. This wasn't a huge concern since she was baby B but Dr. Adcock was prepared for this. However, after baby A was out, he started feeling around in my uterus and found that baby B was vertex. She had flipped herself around again! Dr. Adcock broke my water and I started pushing. Once she crowned, he let me feel her head before I continued to push. Then, once her head was out, he unwrapped the cord from around her neck and let me pull her out. It was the most awesome experience ever!!! I pulled her to my chest and it was so surreal. She was born at 3:03am and once she came out, I realized that I DID IT! I had successfully delivered VBA2C TWINS! My birth experience could not have been more perfect.

My twins are now 8 weeks old and sometimes I still can't believe I did it. People ask me everywhere I go, "did you have a c-section?" I love the look on their face when I tell them that I did not have a c-section, that I went into labor and had them vaginally AFTER 2 previous c-sections. My husband tells me I am an example for others and it's amazing what I did. I guess I don't see it as amazing but merely that I achieved what I wanted! And knowing that these two little blessings have completed my family -- I feel good knowing I finished birthing my babies the way I wanted to do it! I'm beyond thankful to Fredia and Kelly for believing in me and helping me accomplish my goal.

Accomplishment, joy, and leaving a legacy of natural birth

Before I had a natural birth, I was a natural birth. Back in the 80’s, when epidurals were the cool new thing and very few moms were going the natural route, my mom did. She told me her birth stories,and my dad told me how proud he was of her. I grew up knowing that when I had babies of my own, I wanted to birth them naturally.

However, that’s not how it happened with my first baby. As soon as I made it to 40 weeks, my doctor pressured me to schedule an induction. I reluctantly agreed, feeling that I didn’t really have an option. So, early on the third day past my due date, my doctor broke my water and started Pitocin. It got very intense very quickly, and I took an epidural as soon as I could just to save my strength. My sweet boy was born safely that afternoon, and I was thrilled.

For several months, I was content with my first birth. But occasionally I would meet someone who’d had a natural birth, and I still felt tingles in my spine as they talked about it. I had a deep need to fully experience the birth of a child, in all its challenge and for all its glory. I knew I would never be content if I didn’t. Three years later, when we were pregnant with our second baby, I was determined that it would be different this time. I found a new doctor, I hired Kelly as my doula, and I took a childbirth class taught by Fredia.

Apparently I bake my babies a long time. My due date came and went again, with only erratic contractions. Finally, on the fifth day past 40 weeks, I woke up at 1 AM with crampy contractions! I got up and ate a little bit while I timed my contractions. They kept coming, and I coped easily using deep breathing and relaxation techniques. I got my husband up when I was sure this was the real thing. I moved from a sitting position to lying on my side, and eventually I settled into an all-fours position. That’s where I was when Kelly got to my house. I was so excited to see her; it was really time!

Then the contractions really started getting intense. Standing or sitting upright during a contraction was almost unbearable because of the downward pressure. When deep breathing was no longer enough to help me relax, I started vocalizing a deep moan. This helped me continue to cope through those stronger contractions. After several of those, Kelly started encouraging us to get ready to move to the hospital. I was well past the stage when the doctor tells you to call, but we knew I wanted to labor at home as long as possible in order to streamline my admission to the hospital. We left the house around 6 AM. We drove fast down I-59, with our flashers on, me on my knees in the reclined front seat, facing the back. Once we got there, I had a deep urge to get settled in my room, to be on my knees in a bed again and stay there until this baby came out. I hustled inside, stopping to lean on something during contractions. I remember people kept asking if I wanted a wheelchair (as if I could have sat down!). When I got in my room, I got back on all fours in the bed. The contractions were really intense by then, and some of them were doubling up on the previous one. I remember thinking I couldn’t do this much longer. Those 5 minutes were evidently my transition phase. About that time, I was rather curtly telling the nurse that she couldn’t check my cervix until I was ready to push. She was a good sport and left me to it while she gathered her equipment. Not long after she left the room, my body kicked into a whole different gear. I was in the middle of a contraction, and all of a sudden, completely involuntarily, my back curled up like a cat and I was bearing down. I managed to tell Kelly, “Urge to push! Urge to push!” We had no idea what my cervix was like since I had so tactfully dismissed the nurse’s requests to check it. So to be on the safe side, I really needed to resist that urge to push until she came back. When you’re in childbirth class and they tell you to “blow out the candle” when you’re trying not push, I just don’t think it’s possible to convey what a monumental a task that is. It’s like trying not to sneeze with a feather in your face, only 10 times stronger. But for the most part, we managed. We finally got the nurse back to the room, and I still don’t think she really checked me because my baby’s head was already in the birth canal. That’s usually a good sign that your cervix is open. Wow, the relief! I got to push through the second half of that contraction, and then I got a break. Everyone around me was scrambling, I think; I had only been in the room about 30 minutes, and they were trying frantically to get my doctor in the room. But I was in another place. I was vaguely aware of all that going on around me, but my task was inside my own body. I knew it was doing its job, everything was going to be fine, and wow, it was already almost over. I was tired and ready to have a break, but I was not afraid.

My doctor made it just in time. The baby was crowning. My body pushed her head out with very little active effort from me. One more contraction and we had her shoulders out – she was born! Praise God! I had done it! I cannot describe what an amazing, exhilarating feeling I had right then. Up until that very moment, I still felt just a bit of nagging uncertainty. What if something went wrong? What if I needed an emergency C-section? What if I just got tired and discouraged, or I didn’t stand up for the kind of birth I wanted, and I accepted unnecessary interventions? What if it went like last time? But in that moment when she was born, when I gave birth to my baby, all those little what-ifs popped like bubbles all around me and I was left with exceeding joy and accomplishment. And then, as if that weren’t enough, I turned over and they handed me my baby. I held her close against my chest, skin to skin. She was sooooo soft. I nuzzled my mouth and cheek against the top of her fuzzy little head, and she snuggled into me. She started rooting, so I helped her find my breast. She latched on easily, and we were nursing! Soon I had another contraction, and I gently pushed my placenta out. Dr. Stone stitched up a small laceration while my baby and I cuddled. For several hours I just felt warm and fuzzy and wonderfully happy.

Altogether, my labor was about six and a half hours. I stayed in the bed afterwards and rested with my baby, ate a big breakfast, and took a shower. By the time all the family arrived, I was fresh and clean and moving around. My recovery was so much easier the second time – no swelling from IV fluids, far fewer stitches, no narcotic pain medication (or its side effects), and less muscle stiffness thanks to my mobility. But by far the best thing about my recovery was the emotional high. My body created its own pain relief with oxytocin and endorphins (and no medicine interfered with that process), I was in a natural state of euphoria that carried me all the way through the postpartum period. I was emotionally healthier after my second birth, in large part due to its being a totally natural labor. I had done it. I carried the art of natural birth through to another generation. And I was finally content.
~Jennifer