Wednesday, December 22, 2010

Re-Post: BIRTH STORY: Solstice, Bluegrass and Moonlight

(Reposting on Benjamin' s Third Birthday by Laura Gilkey, about the birth of Benjamin Wilson, born 12.22.07)

(December 22, 2007) It is 3:30 am, and I believe this solstice day may be your birthday! What a time for rebirth!

I was in Banyan’s room singing him to sleep when I felt a lot of wetness between my legs. I went to the bathroom and found I had lost my mucous plug, and since then I’ve had more show and some trickling water. I nested for a moment, emptying the dishwasher and folding laundry, then laid down with Papa and tried to rest. I’m awake now timing your squeezes…not quite time to let Harmony know yet. I’ll go back to bed and try to get as much sleep as possible. Who will you be? My eyes will know you!

It’s 9:30 am and my contractions have slowed to about once every 20 minutes, but super intense and short at each interval. Sweet Harmony is at a birth right now and will come and check things out on her way home. Banyan just woke up and gave me a big hug and whispered “happy birthday” to my belly. I LOVE YOU!

(December 26, 27 & 28, 2007) While it is still fresh in my madly-in-love mind, let me tell you the rest of the story of your birthday.

After speaking to Harmony Saturday morning, I decided to go ahead and make the kimbly, or ‘groaning cake,’ that I had read about in midwifery books. The story is that if a woman bakes this cake during labor, her pains will be short, and prosperity will come to the family. The scent of the cake baking throughout the home brings strength to the mother. The cake was beautiful and smelled of winter spices.

I stayed in a creating sort of space, brewing tea and preparing food for the day. We relaxed and played together throughout the morning. I wasn’t sure whether I was really in the thick of labor or not, because the contractions had slowed so much; so Papa and Banyan watched a mid-day movie and I took a glorious nap, waking only every half-hour or so for a contraction.

I was just waking up and planning to go in the kitchen and bake a blackberry crisp when Harmony arrived at our house, around 2:30 pm. We chatted, she told us about the birth she attended that morning, it was all very relaxed and casual. She decided to give me an impromptu prenatal checkup to see how we should proceed, expecting to go home and have us call her when things really progressed. I don’t think I’ll ever forget the look on her face when she said, “I want to be sure what I’m feeling here before I say anything….um, Laura? YOU ARE 8cm DILATED!” I felt elated, giddy, silly, and proud. I felt like Wonder Woman and like a little kid at the same time. We decided we’d better call Aunt Sarah and Mimi, and hope they made it in time, and Harmony decided she’d better not go anywhere! I told Harmony I didn’t know what to do with myself! She said, “if you were going to bake a blackberry crisp, go bake a blackberry crisp!” So I did, and the laughing and the baking and the happy day continued, right into the evening.

Aunt Gana arrived, Aunt Sarah arrived, and then Mimi arrived, and right on cue, my contractions started getting closer together. I stuck the chicken I had brined in the oven so my labor team would have something to eat for dinner. I was in a place of ecstasy, so happy I couldn’t stop smiling. Everyone was! At one point we all were sitting on the floor in Banyan’s room taking turns reading him stories. I was sitting on the birthing ball through those contractions, just happy to be in the room with everyone and not feeling reclusive at all, the way I remember feeling in labor with Banyan. I’d just have a contraction, open up, and it would be over, and I don’t think I ever stopped smiling! Banyan looked so beautiful to me as I was preparing to bring you into the world. He was absorbing the happiness of everyone around him.

As the evening progressed and my contractions became stronger and closer together, we put on some bluegrass music and started to move.With each contraction I would lean against Papa and have him press his strong hands into my back. Mimi made a salad and Harmony colored a mandala at the dining room table.We were still laughing, telling stories, and just busily creating our birthing space. Harmony called Jodi, our birth assistant, who arrived around 7:00. She was just lovely. She felt right at home in our space and said so, making me feel proud of my cozy nest. She was the last piece in the perfect group of attendants, waiting for you.

We continued dancing right on through the contractions. Everyone ate dinner while Papa and I danced our labor dance. Things began to intensify yet again, and at around 8:30 we decided to take a moonlight walk. What a great idea that was. All of us went, even Banyan, the lightkeeper, who thought it was terrific fun. It was the most gorgeous winter solstice night, two away from a full moon, cool and crisp and clear. I looked at that moon and those bright stars and felt surrounded by the energy and wisdom of the universe. I felt like a miracle.When our walk was over, things changed in my body. My amazing birth team sensed that and even as I walked in the house, the bluegrass had been turned off, the lights turned down, and the mood much calmer. I needed all of those things to have happened and I didn’t even know it, much less voice it. I was only in the house a few minutes and a few contractions before I decided it was time to get into the birth pool. Harmony and Jodi filled the pool; Banyan helped, then went with Aunt Sarah to his room to read stories. I was a bit saddened by this. I really wanted him to see your birth, but I knew he was exhausted and would fall into the rhythm that was right for him. And of course, everything happens for a reason. I just missed him a little.

When the pool was full I took off my clothes and got in. The water felt amazing. The birth altar which had been set up since my Blessingway was alive with candlelight, and I chose an angle to labor that would allow me to look right at all of those symbols of support. Papa knelt right beside me, giving me that same strength that he had given me through Banyan’s birth, the strength that was the most important element of my birthing ability. I enjoyed very much the time we had alone together in that small space, while the rest of the birth team waited to come and watch your arrival. Kissing him felt so good, I didn’t want to stop doing it. I was still riding a wave of ecstasy I couldn’t believe.

I had several contractions in the pool before my water broke. I kept feeling an urge to push, and kept feeling to see if your head was within reach, even though I knew it wasn’t time yet. Now I know that feeling was because of the bag of waters bulging in front of you. Suddenly, with one strong contraction it was like a cannon shot out of my body, making everyone in the room jump. It burst forth in huge white ripples through the water. Harmony said in her sweet voice, “the next contraction is going to feel a little different.” I braced myself. I was given one contraction to prepare, one final moment of ecstasy.

Then came the next contraction, and I felt my body being tunneled down by a freight train, ripping through me faster than I felt ready for. I remember asking my body out loud to “slow down.” You crowned immediately and stayed that way for four or five minutes. I felt your sweet head and heard everyone say they could see your nose, your ear. With one more contraction your head was out. Papa was behind me and I knew he wanted to catch you, but he stayed by my side, because Harmony needed to work her magic. She spoke those unbelievable words I had never expected to hear again: “Laura, you need to get out of the tub now.”

I gathered the strength to stand up and held onto Papa with everything I had. That is when I felt a bit of fear. I knew it would be over soon and you would be in my arms; it was this singular thought that gave me comfort. This cannot possibly last more than a few moments. Breathe. Breathe. Breathe. But I know on the outside I was screaming. What I didn’t know then was that you had shoulder dystocia, where your little shoulder was stuck behind my pelvic bone. It had caused the cord to be wrapped around your body like a harness, and Harmony couldn’t free your shoulder or the cord with me in the tub. So I stood, clinging to Papa, trying with all my might not to bite him as I pushed your body out with Harmony’s hands inside me, tumbling you over so the cord would free you. And there you were, my little bird, on the floor beneath me, with Harmony above you giving you oxygen. I felt helpless at that point because I couldn’t hold you, I couldn’t turn my body around without pulling on our cord and Harmony needed to be with you. She abandoned the oxygen mask and knelt down to you, giving you a breath of her life and speaking sweet welcoming words into your heart. I saw that you were a boy and announced it joyously, then said to you as closely as our still-joined bodies would allow, “we’re not going anywhere. This is our home.” And we didn’t. You breathed, you cried, we cried, and just like that, our family became a foursome.Harmony suggested we move into bed. I found it a difficult task, but you were in my arms at last and my liquid insides didn’t seem to matter much. Because of the crazy push through the birth canal and the extra oxygen you needed, Harmony really wanted you nursing well right away. It took you a while to get the hang of it. It finally happened after I delivered your placenta, which we left you attached to as long as possible; then Papa cut the cord and you were free, your own little bird. Everyone was at the foot of the bed checking out the placenta and making prints of it (that turned out beautifully) when you latched on perfectly and never looked back.

While I was pregnant with you, I was unsure of your gender. But when I was in labor, especially as you were traveling through me, I was picturing you: a boy, clear as day. And the second I saw your face, I knew your name. Benjamin. Once you were free of the placenta, Harmony measured and weighed you, and you took after your big brother and tipped the scale at ten pounds even, 22 and a half inches long. I wanted to get into a nice herbal bath (even though I didn’t tear, my bottom half was rather sore!) so Papa proudly carried you into the living room to announce your name, your weight and your length to Grammy and Papu under the twinkling lights of the Christmas tree.

After getting dressed we snuggled down together in bed, nursing, smiling, and drifting into a blissful sleep. While everyone was still sleeping, Banyan woke up at about 5 am. He sleepily crawled into bed with us and said hello to you for the first time. It was beautiful to watch him look at your face for the first time, kiss your sweet blond hair, clutch your tiny fingers.

Welcome, little bird. Thank you for choosing me to give you the grand tour!*edited to add: Re-reading this story makes it even more clear to me why I have chosen to advocate for choices in childbirth so passionately. Because of the midwives' model of care, I was able to have the most supportive labor team and most comfortable setting imaginable. Thank you Michael, Harmony, Jodi, Mama, Sarah, Gana, Kathy and Mic for your unbelievable support.

Tuesday, December 14, 2010

BIRTH STORY: Patience Makes Perfect

(written by Ryan Stanley, about the birth of Jude Ali Shaqiri, born 04.28.10)

Dear Jude,

The calendar said you were due to arrive on Saturday, April 17th. Ten days after that date I woke up asking myself the same question I’d asked for the previous nine mornings - Do I feel any differently today? No, the answer came.

I went on with my day nervous and a little scared. Since I was past my due date I had already gone to the hospital for one round of fetal monitoring. If you didn’t come by tomorrow afternoon I would have to go in for another. If you didn’t come by Friday it was likely that I would have to be induced.

Around 11 a.m. I noticed that I’d soaked through the panty liner I was wearing. I mentioned it to your dad when he came home for lunch and he suggested I call our midwives.

We arrived at Rosemary around 1 p.m. and Alina checked the fluid with a test strip. Sure enough, I was leaking a small amount of amniotic fluid. Since it wasn’t gushing, Alina guessed there was a leak in the side of your sack. This was confirmed when she checked my cervix, which was about 2 centimeters dilated, and still felt the bottom of the bag intact. Because of the risk of infection, I would have to start IV antibiotics within 6 hours. If I wasn’t in hard labor within 24 hours I would have to go to the hospital. Your dad and I were worried but Alina put us at ease saying, “you’re going to meet your baby today!”

From that point on we were on a mission to get labor started. Alina gave me some herbs to take every 15 minutes. Your dad dutifully set reminders on his iPhone. After returning home to eat and take a short nap your dad and I walked the Ringling Bridge and swung on the swings at Arlington Park. We even drove up and down Orange Avenue flying over the speed bumps. We were trying everything we could think of to shake you loose!

While Cheryl was on her way over to do some acupuncture, I made the decision to take castor oil to further hasten your arrival. I blended the castor oil into my favorite smoothie – hemp powder, almond milk, almond butter, banana and flax oil – and chugged it down. Within minutes I was upstairs in the bathroom pooping my brains out. By the time Cheryl arrived, around midnight, I was feeling a slight but regular tightening in my belly. Your dad had them timed, again with his trusty iPhone, at about five to ten minutes apart.

As the contractions got stronger I started feeling nauseous. When I was sick enough to throw up I remembered Carmela saying that throwing up was a sign of labor progression. By this time it was about 3 a.m. and I was moaning through contractions that were now a solid five minutes apart. Your dad called Alina who said she would meet us at the birthing home. We were finally in active labor!

Walking through the dimly lit courtyard felt like a dream. The birthing home shone like a giant amethyst. The small pond gurgled exceptionally loudly. Alina had prepared the birthing room. Candles were lit and soft music was playing. Everything was sharp and sparkly but blurry and concave at the same time. I knew the lyrics to the song that was playing yet I’d never heard the tune before. I suddenly remembered the joke I had made in birthing class about how Carmela’s explanation of labor could be confused for a bad acid trip. Not so much of a joke now that I was in it. And although I didn’t consider it bad it certainly was a trip.

In addition to the visual and auditory intensity, time seemed to slow down and speed up all at once. At one point I looked at the clock as I felt a contraction coming on – 4:04 a.m. I could hear the “click, click, click” of the second hand for what seemed like hours as I dove head first into a wave of contraction. As the wave crashed and then faded I looked at the clock again – 4:05. How was that possible?

I wanted desperately to curl up on the bed and sleep but my body wouldn’t let me. The discomfort while lying down was almost unbearable. Instead of sleeping, I went inside myself and played with all the ideas I had about childbirth. I paced, rocked in a glider, hung from the bed posts, leaned over the bed as your dad and Cheryl rubbed my back. Mostly I howled. I was like a she-wolf – bending and baying at the full moon.

I didn’t realize it at the time but was told later that at some point during labor you turned face up. Since it isn’t ideal to deliver a baby in that position, Alina had me flip flop on the bed while she attempted to manually turn you. This was painful and exhausting. Then I labored on the toilet for about an hour. In between pushing contractions, which spaced to nearly 10 minutes apart, I rested. Then, after pushing in bed and in the tub, I climbed up and down the stairs for an hour or so before returning to the tub.

Your head was emerging ever so slowly – one centimeter out, two centimeters back. Cheryl got a mirror to show me the progress and even fashioned a birthing stool from two chairs so I could squat and get you lower. Even though I was determined to see you it felt like I had no control over my pushing. The contractions would force me to the ground, my knees on the hard wood of the stairs, and I would bare down aimlessly. But you knew what you were doing. You worked so hard to carefully stretch my perineum. Thank you.

By this time Harmony, Julia and Heidi had all arrived and were helping me stay focused and hydrated. It felt so good to have one of them put cool washcloths on my face and body. And your dad never left my side. He was my shadow. He rubbed my back and stroked my head. He waddled behind me up and down the stairs. He even held me up while I sat on his knees in a squat and worked through contractions.

Then, back in the tub, I pushed for another hour. As soon as I hit the water I entered a new state of awareness. I was exhausted and I knew it. I wanted you in my arms so badly. This whole thing was taking forever! My contractions slowed, there was an eternity between them, and my body would just curl around itself and flex downward as if on auto pilot. Your head would slide forward with each contraction only to retreat back inside.

After nearly five hours of pushing, the burning on my perineum was intense. I was given oxygen. I started crying. I was desperate and scared. In my head I was screaming at my mom, “why didn’t you tell me it would be this hard!?! Why aren’t you here to help me!?! I need you!!!” I pleaded with my midwives to help me, to do something, but there wasn’t anything they could do. Perhaps an episiotomy would have brought you out more quickly but they knew I didn’t want one.

I wish I had words to describe what I was feeling in that moment. This was, by far, the most difficult part of the entire process. It wasn’t physical pain that blocked my progress, it was emotional pain.

But then something happened. I was asked to stand up. Blood had darkened the tub water. Alina needed to check the bleeding and get your heartbeat. I guess this was a big deal but Harmony and Alina were so calm I didn’t think anything of it and just stood up (with your head hanging half way out of my vagina, by the way, like it was no big deal). Your heartbeat was strong and there wasn’t any major bleeding so I sank back into the tub. I could feel that the change in position had forced you lower and perhaps the distraction helped clear some of my fear. I only knew one thing – that I wanted you in my arms. So I closed my eyes and waited silently for the next contraction.

I don’t remember the pain of your head finally delivering. All I remember is hearing someone scream (presumably me) and then hearing someone (Harmony, I think) say, “Ryan, look down at your baby”. I looked down and as your head slowly turned you looked right at me with two huge black eyes. Your hair was dancing in the water. I had such an intense longing to have you in my arms but when I reached down to pull you up I saw your dad eagerly fixed on your arrival. I let go, leaned back and let him catch you.
As the rest of your body emerged I felt so many things. Every inch of you – neck, shoulders, chest, stomach, waist, butt, legs, feet – was examined by my insides like I was feeling sensation for the first time. Simultaneously it was as if I had left my body and was watching from above. I could see inside myself. But I also clearly remember this strange X-ray image that I was seeing from above was also being projected on the wall in front of me. My bones flexed and bended around your tiny body as its skeleton stretched and compressed and came forth into the world. It was the most transcendental thing I have ever experienced.
In that moment the exhaustion and pain and fear evaporated and they were replaced with pure love. I barely paused long enough to see if you were a girl or a boy! You were wide eyed and alert and nursed beautifully within the first 20 minutes. And as your dad and I chatted and giggled and snuggled you close it was as if we had known you forever.

Your mother