It’s four a.m. and I can’t sleep. In two weeks or less, this baby will be born. She’ll be born via c-section, either on April 5th, as we’ve scheduled, two days before her official due date, or sooner if she decides she’s in a hurry. I’ve been fine about the birth up to this point in the pregnancy. Pretty nonchalant about it. But only because I haven’t been giving it much thought, intentionally. It was a far-off thing, to be dealt with later, and there was so much else to get through first.
But here I am now. It could be any time. And I’m finding that I’m scared. Not because it’s unknown… I’ve been here once before. I’m scared because of what I’ve already known of childbirth.
I didn’t write much on this blog about Thumper’s birth or its aftermath. I never told his birth story. Before he was born, I’d fully expected to do so, but it went so very far from the birth I’d hoped and planned for that I just couldn’t write it. (Which should have been my first clue that I needed help dealing with it, but it took me a long time to come to that realization.) I’m not going to get into the blow-by-blow now, nearly four years later. It basically boils down to this:
The plan was for a natural delivery in a hospital. I was in labor with Thumper for four days, at home with Billy and my mom and a terrific doula. Contractions would get to three minutes apart for an hour and then stall out continuously over those four days. There was never more than fifteen minutes between contractions, though, so there was not enough of a pattern to go to the hospital, but there was also no way I was able to sleep at all for those three nights. Then we finally went to the hospital and I was in labor in there for another nine hours, unmedicated. Then there was moderate meconium staining when my water broke, and not-great readings on the fetal heartrate monitor. I got some pitocin and an epidural and went another six hours. Interventions followed. They screwed a monitor into the baby’s scalp. Yes. With a tiny screw. Tubes everywhere. I think maybe the catheter came at this point, though it’s a blur. I felt like the fucking Borg. Thanks to the epidural, I finally got some sleep. I woke up when they needed to give me a shot of adrenalin because my heart rate dropped. The baby’s heart rate showed distress. It was decided it was time for a c-section, and that’s how Thumper was born, at 7:59 am on the fifth day.
I had a beautiful, healthy baby boy who latched on perfectly to nurse on the very first try. I also had a six-inch incision, tubes coming out of me from all directions, a foley bag, and itching from the narcotics so bad I wanted to peel my skin off. We got through it. We went home. I recovered. Kinda.
The physical recovery was easy. I was up and around in no time. Emotionally?
You know…I called 911 when Thumper was six weeks old, because I thought my throat was closing from an allergic reaction to something I’d eaten. I was home alone with the baby. A firetruck pulled up in front of the house about thirty seconds after I called. (We lived up the block from a fire house.) The paramedics were right behind them. They took my vitals and determined I was totally fine. They were very kind and patient with me, and no one said, “Idiot, you’re having a panic attack.” In retrospect, I wish they had. I never called 911 again, but I went through the next 17 months thinking I was having heart attacks, feeling like my throat was closing.
(By the way…a fire truck and paramedics pulled up in front of the home of a new mom at six in the evening on a week night, and not a single neighbor called or stopped by after to see if we were okay. I don’t miss New York.)
Finally, when we’d moved to Portland and Thumper was 18 months old, I got some help. Got myself into therapy. Got diagnosed with Anxiety Disorder. Did the work–cognitive behavioral therapy. Got some tools. Got better. I graduated from therapy, haven’t had a panic attack in over two years now.
I’m not having one now.
But the anxiety is creeping back in now, as another birth approaches. One of the main reasons I decided not to try for a VBAC with this birth is that I know that emotionally I couldn’t get through another labor. I believe that the first c-section saved my baby’s life and mine. I truly believe it was medically necessary. So to labor again would be to remember that it almost killed me and my baby last time. That in an earlier time, natural selection would have decided against us. (Childbirth is a natural thing, but dying in childbirth is also a natural thing and used to be extremely common. Which is not to say that all births should be medicalized, but let’s not forget that death is a natural outcome too.) Also, after the first labor, I no longer truly believe in my body’s ability to successfully birth a child. How do you get through labor if you don’t believe you can?
So a second c-section. I feel good about that decision. I haven’t doubted that for a moment. It is what’s right for me. But it comes loaded with baggage, too. They’re going to cut me open again. I’m going to be laid out on a table and I’m going to be numb from the chest down and they’re going to cut me open to take the baby out. I will be the last one in the room to see my baby, and I won’t be able to touch her until they wheel me into the recovery room. Because she won’t get squeezed through the birth canal, she’ll likely have amniotic fluid in her lungs and we’ll have to watch out for that. Thumper started choking on fluid at one point the day after he was born, and his lungs sounded junky for a couple weeks after his delivery.
And there will be the tubes. And the opiate itch. And the incision. The all-liquids diet until I can convince the nurses I’ve passed gas. At which point I’ll be patted on the head and given hospital food for three days. Three days in the hospital. And the night nurses. God, the fucking night nurses. I hope they’re better here in Portland. At NYU they were bullies. But I’m stronger this time, not a first-timer. And I won’t have been sleepless and traumatized and I will not be bullied. Hear that, nurses?
(Why is it that labor and delivery nurses are so often wonderful and maternity-ward nurses so often godawful brutes who treat new moms like ignorant children? Apologies to any maternity nurses reading this. I’m sure you’re among the good ones.)
So…yeah. This baby’s got to come out. I want her to. And now it turns out to be a very lucky thing I hadn’t set my heart on the VBAC, because the baby is transverse breech. C-section it is now, no matter what. I thought I was reconciled to the surgery, but I guess I still have some work to do, which I’d better do fast. I feel better having written here. Much better. Thank you for listening. I think I can sleep now.