This is long!  Be warned!

I think when a person in is a position to serve a woman while she is in labor, that person should have required training every few years, like a recertification, on what it feels like to have a baby.  I am not certain how this certification could be obtained, virtual reality plus some sort of pregnancy suit? Actually having a baby? I haven’t figured out the logistics, but I have recently had a recertification of my own, and that is called, my fourth child.

This fourth pregnancy was a surprise.  Technically, I got pregnant at a time when no one would be able to get pregnant – only I guess more like I got pregnant at a time I felt I was highly, highly unlikely to get pregnant.  My last menstrual period was June 10th.  I did not get pregnant until July 13th at the earliest (a time when I was waiting for my period to start), to July 20-ish at the latest; looking at the date he was born now (April 6th), July 13th seems closer to the target date…we were on vacation.

I had lots of irritable contractions combined with irritable baby movements (probably more of the latter versus the former) that would happen around 10 pm to 1 am.  The week before labor began I pretty much experienced these every night and I hated them.  During these times, I would have waves of panic and anxiety about the reality of actually having to go through the birth process again, and I was always grateful when they were over and I could finally climb into bed.

Friday the 5th of April was pretty normal except I had two very serious bouts of grumpiness that made me feel deeply in touch with someone who was (hopefully!) going to start labor soon -- it was like total,
irrational, not-triggered-by-much anger that switched on so fast, I knew it was something else with some other root than just me being moody. 

We had pizza for dinner, and like I had for the last week, I restrained myself from eating too much (“If labor starts tonight I don’t want to be too full,” was my rationale).  I had two pieces and then cut myself
off. I took a little nap in bed, which I hoped would actually be “going to bed,” but I woke up at about midnight when I couldn’t ignore the antics of Wild Baby any longer.  I watched TV a little and sat on the ball to try and bounce my guy into a calmer state.  At 1 am I decided to watch the last episode of Mad Men on Netflix so I would be ready for the new season, with the intention of going to bed after that.

At 2 am, just when I was settling into sleep, I realized I was contracting, and these contractions felt different.  They came 5-6 minutes apart, were totally manageable, and lasted about 40 seconds. I tried to sleep, but I was also mindful of needing to recognize true labor so I could get my sister and my mom on the road from two and a half hours away if this really were it.  

Everyone was asleep, and as long as I was okay, I felt no need to wake them.  I was feeling hungry, so I ate half a lemon Chobani (again, not wanting to eat a lot) in the morning quiet. I did call my sister at 3 am to let her know it was go-time.  I labored longer, in the quiet of my living room, tending to small errands and tasks between contractions.  At 4 am I woke Brad up to tell him I was in labor.  He came out to the living room and asked, “What can I do?” and I immediately answered, “Take the recycling out, it’s driving me crazy and I have contemplated doing it myself for the last 2 hours.”  I was hoping he would just lie back down on the couch and snooze a little, but he was up and ready to go.

I thought I would wait to call my midwife until 5 am, but at 4:30 my contractions began to get stronger and longer and closer together, just as they should, and I finally had some show. I phoned Linda to let her know I was in labor.  She asked me a few questions, and then said she would be over soon.  She lives about 40 minutes from us. 

At 6 am, Linda arrived, and things were beginning to feel real.  We had our tub set up in the dining room and I was feeling a pull to climb in, but I didn’t want to stall labor if I wasn’t that far along.  I asked Linda to check me and she said I was 3 centimeters (“Not quite active labor!” I thought with a little disappointment), about 90% effaced, baby maybe at -2 station?  I can’t remember that part.  I mentioned I wanted to get in the tub, but I should probably try the shower instead (so gravity could keep helping my labor), and Linda agreed. 

I got in the shower, and I really don’t know how long I was in there.  The water felt great on my belly and during contractions I would swing from side to side so the water could fan over me.  In between contractions I alternated putting my foot up on the side of the shower to lunge, in case my baby was posterior like his two brothers before him.  Soon I found I had to vocalize during the contractions.  I was in the bathroom alone and I had a lot of time to think. The thought that kept coming back to me was, “All is as it should be,” which was part of a prayer Brad had said earlier in the week when I was feeling really overcome with fear.  I rubbed my belly and talked to the baby and told him to hurry, it all felt like it was happening in slow motion.

When I got out of the shower it was about 7 am and Linda checked me again.  I was 5 centimeters.  I went straight for the tub at that point, dropped my towel, and climbed in.

Jacob and Jonas were awake and had been for a while.  Soon Isaac woke up and came straggling out of his bedroom in his standard sleeping attire – undies and a t-shirt.  Brad told him we had company and he might want to put clothes on.  Before Isaac woke up I remember Brad asking Jonas if he knew why Linda was at our house so early?  Jonas admitted he didn’t, and we made a joke about Linda just coming for an early-morning visit.  Brad then said, “Your mom is going to have the baby today.”

I looked to the tub for the relief it had brought in the past; with both Isaac and Jonas I got into the Jacuzzi tub at 5ish centimeters and after an hour was at 9ish centimeters, and I was hoping for the same, with the addition of having the baby in the water. After 30 or 40 minutes it seemed the tub wasn’t going to work as I had planned.  I had intense pain in my lower abdomen to the point of not being able to sit in a relaxing position, so the whole time I was in the water I had to be on my hands and knees, and I didn’t want to stay that way much longer.  Also, Brad started making pancakes in the kitchen.

At about 7:45 my mom, sister Shiela, and her two boys arrived.  I headed to my bedroom, finished with the tub.  Linda had set things up around the pool in preparation of a water birth, so some rearranging was in order, moving things to my room, getting equipment ready if needed.  Once in my room it was just Linda, my mom, Shiela, and I.  Brad had the boys going with pancakes and if they were making any noise, I sure didn’t hear it.

I asked someone to bring the piano bench into my room as I was laboring standing up, and I wanted to continue to lunge in case I had a malpositioned baby (which I don’t think he was, but I was a little gun
shy).

I think I had Linda check me again, and I think I was 7 centimeters?  I am not really clear on this part.  I wasn’t ready to sit down, so I continued to labor standing up. Shiela was a super doula – she would squeeze my hips during my contractions, and it brought so much relief!  One thing I know about that double-hip squeeze is, it is hard to do when you have to press your arms together at the height of a woman’s hips – you get tired fast, and the laboring woman usually doesn’t want you to stop.  If the
mom can get on her hands and knees on the floor, you can squeeze her hips with your own inner knees by straddling over her back, but I didn’t even want to try or offer that as I didn’t feel good in that position. 
Over and over, a contraction would come, and I would tell Shiela, “Hips, hips, hips,” and she would start
squeezing.

In reality I have no idea what kind of time span this all happened in, I say over and over, but maybe it was only about 5 contractions?  Or maybe it was 10?  

I did finally sit on the bed for a bit. I remember taking my watch off and handing it to Shiela with the feeling that this was taking too long. I know for a fact I wasn’t looking at my watch or paying attention to how long it was taking in a linear fashion, but it was more some sort of symbolic resignation that I
would try to just flow with the timetable my body and baby presented even though I am as impatient as they come; in the last picture of me with my watch on, I see the time is 8:55 am.

I decided to visit the toilet.  I spent a couple of contractions there, and Shiela was with me. She said my noises changed and she knew I was getting closer.  As I sat laboring on the toilet, I opened the shower door next to me and contemplated getting back in -- I was looking for anything to comfort me at this point.  Then I decided to see if I could feel anything inside of me, so with one finger about one knuckle in I was shocked to find something!  “Is that a head?” I asked.  But then I realized it was a bulging bag of water, with a head behind it.  After all the years of hearing practitioners say, “I feel a bulging bag of water” (which I did remember Linda saying when she checked me last), I finally knew what that felt like and what it meant.  I think I almost gingerly hopped off the toilet at that point, feeling remotivated.

I had one contraction standing up, with Shiela at my hips.  Then I had another, and my water exploded all over the floor.  There was a little meconium but Linda said it looked old and there was no reason for concern.  I finally climbed into bed.

At this point I knew it would soon be time to push.  I suddenly had the need for Brad to come and be with me, so I called to him and patted the side of the bed next to me, I just wanted him to sit with me and be near. Shiela was on the other side of me, and Linda was at the foot of the bed.  My mom was by the door, ready with the camera, and the boys were in the living room playing Legos (again, I never heard anything from the boys, and there were 5 of them.  Actually, I think after they ate pancakes they walked to the park with the dog to play for a bit. But I do know when the baby was born, they were playing Legos in the living room).

I did begin pushing at some point, and Linda said I still had a rim of cervix and she was going to try and move it, and I was totally fine with that because if anything was holding this baby up, I wanted it gone.  So for a couple of contractions she worked on that and I guess it went away.  I was pushing with such intensity but it felt fruitless.  I truly felt nothing moving or changing and I imagined pushing forever
and not making any progress.  It was at this point that I remember thinking, “I should have gone to the hospital so I could have the drugs!”  (Interestingly enough, when I had my babies in the hospital, I never thought to ask for drugs, because I know if I had had the thought, I would have asked; maybe at home when it is not an option, my brain safely went there, just as a way to cope and vent.)  Brad and Shiela were helping me pull my legs back during the pushing.  Instead of rolling my chin to my chest, which I have helped women remember who-knows-how-many-times, I arched my head back against my pillows.  I also had my body twisted in some way, crooked a little. Linda gently reminded me to get better aligned (with words and heart I could understand at that point), while giving me positive encouragement for this task I had to undertake.  

Linda!  What else could you want from a midwife?  Really, not one thing.  As a doula, I get really uncomfortable when people say, “Stacie, I couldn’t have done it without you.”  Because, come on, you could have, and you would have.  I don’t want anyone’s birth experience to have me entangled as an
essential ingredient; it should be all about the mom and her family, not me.  But I have to concede that
when the right person is helping you with the right words and attitude and presence and spirit, it helps make the experience even more amazing, if that is possible.  When you have the right midwife, the feeling is similar to being in your own home – the comforts of being in your own bed, using your own bathroom, lunging on your own piano bench – Linda was a natural extension of that.  It felt right that she be here, in our home, unobtrusively watching over the birth of our baby.

The support Shiela gave me was also invaluable.  Family members don’t always make the best doulas. 
Shiela actually has taken a DONA-doula training, and that coupled with what she knows about me (just about everything), made her perfect for the job. She stayed by my side, she gave me verbal encouragement, she wished she could help me more.  The truth of the matter is, only the mother can have the baby, but she doesn’t have to be alone while she is having her baby.  I will forever treasure that my sister was there to support me during one of the most intense experiences of my life.

Pushing was hard, it was really hard – it seemed harder than it ever had been.  I know I was lost in my head, and in there, the storm was raging. Every push came with screams, I hate to say it.  I have never screamed with any of my other babies.  And also, I cried, which was something new for me.  In hindsight I probably could have pushed more effectively keeping those screams to myself, but they just came out.  I know the boys didn’t appreciate the noise (although they all later admitted they weren’t scared), I am thankful my neighbors didn’t call the police, and the screaming is not my favorite thing about the birth video – oh well!

After so much pushing (again my sense of time is really off here), finally his head emerged.  I felt his head with my hand, but it really didn’t mean anything to me, I just wanted the rest of him out!  I pushed for one or two more contractions, maybe three, and then his shoulders popped and he tumbled out on a
wave of fluid and tons of baby poop.  Linda helped bring him to my chest, all the while rubbing him and talking to him and watching him carefully.  I was so relieved and instantly went from that person experiencing the very hard work of pushing toward a goal, to that mother experiencing her baby
for the first time.  I was rubbing him and toweling him off and just taking him in, my body relieved of the burden with the prize in my arms.  He was born at 9:42 am.

We all watched as he turned from purple-y to pink.  His apgars were 8 and 9.  Very soon after birth he wanted to nurse and he seemed to know just what he was doing. The boys peeked in one by one, only appearing mildy interested (we had two 13 year olds, two 11 year olds, and one 7 year old), and then backing out of the room again.

There were lots of things in the birth kit we didn’t use.  My perineum didn’t need massaging, which Linda was prepared to do.  We didn’t need the bulb syringe to suction the baby’s airways. There are lots of Chux pads that didn’t get used.  Everything just happened easily and well, as it so often can when left to its own devices. I am sure the level of comfort and security factored into that for me as well.  I am still struck by how ordinary things were and how extraordinary they were. Within a couple hours I was back in my shower.  A little while later I threw a load of laundry in.  My mom bought donuts and I happily ate three.  Our new (nameless) baby was being admired and touched and held by his cousins and brothers and dad and aunt and grandma, while also nursing and visually taking in all he could.  In many ways it was like a normal Saturday morning at home, but then, it was also like some rare, high holy day, calm with introspection, peace and joy.

Ezra Christian was 8 pounds, 1 ounce.  There was much debate about his name – the other choices were Benjamin, Ruben, and Abraham. He was born on what we in the LDS religion believe to be Christ’s birthday, and also the day the LDS religion was restored; Christian is my brother’s middle name, and we
felt it appropriate for Ezra as well.

Moving through that birth, I didn’t feel alone.  I remembered so many births and situations and strong mamas moving gracefully through this work.  I could name each and every one that came to mind, but hey, this one’s my story.  Just know if I have been with you for the birth of your baby, you were with me during mine in spirit and endurance and admiration.  This has brought me so much more appreciation and compassion for birth and women while experiencing it – that’s why I feel there should be something birth workers can do every few years to get back in touch with what it can really be like to physically grow and have a baby.  It changes you, and sometimes we forget that.  

Tuesday night I was called to the home of N and J – N had been having contractions since 2 pm and now, 9 hours later, they decided it was time to go to the hospital.  After being monitored and checked, and N being pronounced 1 centimeter dilated, they were sent home.

N continued having contractions and the next morning they were starting to pick up. Around noon, they headed back to the hospital and this time they were admitted – N’s dilation was now 3-4 centimeters. N coped beautifully, and J was one of the most connected partners I have ever seen.  We took a walk around the hospital campus and noted such things as the cell phone tower that looks like a tree.  N would pause during a contraction and lean into J, and then we would continue forward once the contraction had passed.  

Around 6:30pm N was checked again and found to be 5 centimeters.  Not what we wanted to hear!  But N was motivated to stick with it even though she was tired.  The shower worked well until the Jacuzzi tub was filled, and from about 8 until 10 that evening we were all stationed in the tub room.  N was getting more relief than before, moving in the water to a hands and knees position during contractions, and then to a sitting position to rest.

N had been having intense back labor this whole time.  It became obvious her little guy was in a posterior position.  At 10pm, 32 hours into the process, N was checked and found to be 6ish centimeters open. Her midwife offered a couple of suggestions --one being to break the bulging bag of water to see if this helped labor and dilation, the other to assess the pressure of the contractions to see if, after all this time, their strength was adequate to make the necessary cervical changes.  As their midwife spoke with N and J, answering questions, encouraging them to make the decisions they felt most comfortable with, and assuring them they had time to think about it all, she then left the room to let N and J talk it over. They decided to have N’s water broken, and N also wanted to try some pain medication.

With the bulging bag of water N was dilated to a 6.5, but once it was broken, she went back down to 5. This was disappointing news for N and J. After all these hours, though, the fast-acting narcotic pain medication was giving N a little bit of respite. Thankfully, N’s baby finally moved into a better position, relieving that unrelenting back pain. After 70 minutes or so of J and I standing vigil at the bed, and with the medication mostly worn off, N was found to be 8-9 centimeters. Her contractions never decreased in intensity or frequency and she was getting so close to being done!

At this point, J and I got her into the shower to sit on the ball.  This is where the last of her cervix would melt away in preparation of the baby’s birth.

When we came out of the bathroom, J was feeling like pushing, and we were all happy to learn that yes, her cervix was gone.  It was finally time to fill the birth tub!

J climbed in and, as she had many times before, she settled in to listen to her body’s signals.  She began pushing. Their midwife said to Dad, “Hey, J – once the baby starts to come, do you want to help him out?”  I don’t think this was something J ever imagined, and if the idea had been brought up at any other point than this precise moment, I wonder if he would have agreed so quickly?  But the right question from the right person at the right time was the perfect set-up for this dad to help catch his baby.

N pushed on her hands and knees. In no time we saw the baby’s thick, dark hair waving in the water.  Unlike the movies or television, N’s midwife relaxed and watched N follow her body’s cues.  There was no “Push, push, push, pushpushpushPUSH!” –ing involved.  All was quiet and peaceful as we eagerly waited to meet this baby.

At 3:05am, Baby Austin was born -- his daddy’s secure hands brought him up through the water to the safe harbor of his mommy’s chest.  37+ hours after labor began for this couple, they held their new baby and whispered elated words of joy and love to him.  

The birth team worked incredibly well together,  and the midwife was aptly soothing and intuitive.  All of that aside, though, this couple was exquisite.  When it's all said and done, this new family has their own story to tell, a story where no one else stood out as heroes except Mom and Dad. This couple shared an experience they will forever treasure:  a long labor, on the longest day of the year, that brought them their summer solstice waterbaby.