After the birth
of our third son, via emergency section, the thoughts of having another baby
were somewhat daunting. I knew our family wasn’t finished but I was very
nervous about “going again” due to the drama surrounding Liam’s birth. But one sunny summer day in 2010 saw me
looking at a positive pregnancy test. I
knew my body could handle another pregnancy and a birth but my concern was how
my caregivers would “ handle” me. My GP
had already told me that should I fall pregnant again, I would be given a
“trial of labour” and at 6 weeks post delivery, I knew straight away I would
have my work cut out for me trying to have a VBAC (Vaginal Birth After
Caesarean Section).
I was mildly
surprised then, at my first ante natal appointment to be asked if I wanted to
“have the baby myself” and when I said yes, I want a VBAC, I was told this was
the best decision. Things were looking
very positive indeed and I geared myself up for a natural birth.
I was convinced
from about 8 months that I was going to have the baby early. He was very low down and I was getting
regular and quite painful Braxton Hicks.
All of my clinic appointments were great. I was receiving great support from the
midwives and the consultant about my VBAC and I was full of confidence and very
much looking forward to the birth.
Then things
shifted slightly. I was on the final
stretch and my previously ok’d birth plan was now looking like a school
report. The ground underneath my feet
was beginning to feel decidedly shaky and I could feel my VBAC being taken away
from me. This was a blow to my
confidence and to make matters worse, at one of my third trimester
appointments, the consultant felt that my fluid levels were a bit low and I was
sent to the hospital. This happened again
a few weeks later, but this time I was kept in overnight. All of this only served to confuse and
frustrate me. I had been told that
because I had already given birth myself twice before, the odds of me doing so
again were high. But every time I attended
an appointment they contradicted themselves and made me feel like a number.
Having been
convinced that this baby would arrive on time or early, suddenly I was gone
past my estimated due date and found myself at yet another tormenting clinic
appointment. I wasn’t a bit surprised to
find it was the same scenario, in fact I was probably expecting it. Each time it seemed to be getting more
serious and again the fluid levels were found to be low. Lower in fact than the
previous week. This time the consultant was finding it hard to get a reading of
4cms. He wasn’t even getting, he said, four proper pools of fluid. He thought
it best that I go to the hospital on that Friday morning for ARM. (Artificial
Rupture of Membranes)
I was still all
this time, getting cramps and there was lots of show so I was hopeful things
might happen of their own accord. The anxiety of that pending Friday morning interfered
with my sleep so I was able to add tiredness to my stress levels. Everything in
me and all I believed about Mother Nature doing her thang when she was good and
ready, convinced me that I would not need any interventions at the eleventh
hour. So when I was examined on Friday
and found not to be favourable for ARM, I didn’t know what to do. The doctor
decided a sweep might help things soften and I would be assessed again the
following day. Against my better judgement, I agreed to be “swept” and then
Mister Husband and I were free to walk to our hearts content. We spent a lot of
time walking the hospital grounds and I could feel the baby’s head in my
pelvis. It was quite uncomfortable, kind of a bone against bone sensation and I
had to stop frequently to catch my breath. Cramping was also slightly stronger
but nothing to write home about. It
wasn’t lost on us that this was the first time in, we couldn’t remember when,
that we were able to have several uninterrupted conversations.
The following
morning saw me sat, waiting alone in the labour ward for the ARM assessment
with just Matt Cooper on headphones for company. Oh, and the poor lady in
active labour across the hallway. Nervous? Anxious? Me? You must be
thinking about someone else.
This time it
wasn’t so nice; not quite as comfortable as the day before. Of course, it
didn’t help that the doctor was quite serious in his approach. None of the
other doctor’s cheery banter and very politically incorrect comments to take my
mind of things. I was also fixated on the plastic implement he kept waving as he spoke. I can’t look at
a plastic ice-cream spoon in the same way anymore! I was very posterior so
there was a lot of digging and pressure as he attempted to “pop” my waters but
there were none forthcoming. To be
honest I was a bit relieved, thinking they were obviously correct about the
fluid levels being low. From that moment on, however, I was officially on hospital arrest. I was
to be constantly monitored which meant no lovely walks outside in the hospital
grounds. I would be lucky if they “allowed” me to walk the hallways. There was
to be a cannula inserted and I was fasting also. That put paid to the cappuccino
and chicken tikka panini I had great plans for. I was ravenous and it was only
11am. I drew the line at being “gowned up” and wearing the paper knickers the
midwife produced. My own granny knickers were seriously unsexy but I was wearing my own
clothes, thank you very much!
I made a quick
phone call to Mister Husband who arranged care for the boys for the afternoon
and he hot footed it to Kilkenny. When he arrived I was back
in the labour ward and hooked up to the monitor. This ball and chain remained
tightly secured to my swollen belly until I gave birth. I was sitting on a gym
ball and contractions were still not doing anything much but they were
definitely there. I alternated between standing at the side of the bed and bouncing on the
ball. At about 4ish, our lovely midwife, Maria, asked if she could examine me. I was still very
posterior and she wasn’t able to tell how dilated I was without really getting
in there. I asked her not to do so and she said she would go in search of a
midwife with nice, small hands. I had stated in my birth
plan that I wanted VE’s kept to a minimum. The next midwife managed to
move the baby’s head and on finishing the exam, there was a release of water.
Seconds later followed by another. (A day later on reading my
notes, it made for interesting reading to find that I released “copious amounts
of fluid” and I continued to do so regularly for the next few hours. Hah! I
thought, so the fluid levels weren’t low after all. But I digress.)
From then on
there was a noticeable change in the contractions. They were more frequent and increased
in strength. I stood at the side of the bed for the next hour and a half and
filled my head with a home video of the three boys and played it over and over
again. I closed my eyes, slowed my breathing right down and with Mister Husband
standing behind me, I swayed and rocked gently.
Gravity is the labouring mother’s bestest friend. Stand, walk, walk some more, keep standing,
sway those hips and your body has no other choice than to allow the baby to
move downwards and out into the world. Mister
Husband had his arm looped around my neck and I was able to put my face in the
crook of his arm and inhale him. It was lovely. It really
was. I kept visualising the kids, in particular our then youngest who was 21
months old. I imagined his smell, his
messy hair at the nape of his neck, the way he would wrap his legs around my
waist when I hugged him, his mad grin. I shut the whole world out except for my
home movie. I rocked and swayed and at
times felt Mister Husband stroke and kiss the side of my neck. I felt so safe,
secure, protected, supported and loved. It was lovely. I remember
whispering to Mister Husband that I was sorry for not talking to him and he
said “you’re in your zone. Stay there.”
I had a cramp in
the back of my thigh which was annoying and every so often I would sit on the
gym ball to relieve it. I noticed when I
did this, the contractions stopped straight away. But I needed the odd break and
didn’t stay seated for long. Once I stood up again the contractions picked
right up and I felt each and every time, a nice trickle of water being released. I could feel the
baby moving downwards all the time. It was almost time for Maria to finish her
shift and a quick peak at the clock told me it was after 7pm. Just three hours
after true labour began. Maria said she
felt our baby would be born in an hour and as if to give me a boost, she opened
the birth pack and turned on the heat lamps. She asked to examine me again and
found I was still very posterior but she reckoned I was more than 4cm, possibly
5 or 6. Mister Husband kept telling me it was just a number and reminded me
that this was proving to be the very same as our second son’s birth.
It was hard to
hear I was 4cm but I was starting to make different sounds and I knew I was in
transition. Maria had left after a quick squeeze of my hand and a kiss on my
forehead, and the new midwife asked me to tell her if I was feeling pressure. I
was but not in my bottom. She told me not to worry or focus about this, to let another contraction
or two do its thing and then she would examine me again. On doing this she said
there was a bit of a lip and I needed to give it a couple more minutes. I was
almost there.
At this stage the
contractions were difficult to manage and thoughts of the epi began to make an
appearance. I was covered in a thin sheen of sweat and shaking a little bit. I
was definitely making birth sounds and finding it hard to focus. I had to
really concentrate to calm down. After about 20 minutes or so there was
different pressure and the midwife asked me to climb up onto the bed when the
next contraction ended. I think she thought I was going to give birth standing
up. To be honest so did I!! I didn’t think I was going to be able to get up
on the bed but I somehow managed it and the midwife declared me ready to go. As
if I didn’t know!!!!!!
I rolled onto my
side; my leg was unceremoniously and without care, hoicked up into the air. The
pressure was animal, unreal and I was so aware of the ejection reflex. I let
out an almighty bellow that seemed to come from deep down inside me and with
one push I felt the head being born. The cord was wrapped and there were lots
of shouts and roars at me to “pant, pant”. I couldn’t hear a thing so they had
to shout. There were two more incredible pushes and our fourth son, all 8lbs
and 13 oz of him was born after four hours and nineteen minutes. I kept saying
“I can’t believe you’re here, I can’t believe you’re here” and then “I can’t
believe I’m not pregnant anymore,” much to the amusement of the midwife. He
latched on straight away and oh god, the rush of adrenalin. The power, the
return of the control I thought I had lost over the previous few days. It was
amazing. It was so intense.
I “opted” not to
have pain relief for the simple reason pethidine makes me sick and gas and air
just burn my throat. And I can honestly, hand on heart, say that I didn’t need
the epidural. Yes, transition was bloody tough. Very tough indeed and there was
a definite “oh crap, I can’t do this” moment. But I regained
my focus and did my best to let my monkey do it (Thanks Ina May). *
A little over four
years ago now, I made my first enquiries about hypnobirthing, in particular,
Tracy Donegan’s home course. (Birth
Hypnosis Programme. Gentlebirth CD’s.
The Secret to a Positive Birth). This was when we were expecting our
second son. Fast forward to our fourth
born nine months ago, and I can confirm with absolute certainty and delight
that it truly does work. Forgive the irreverence but I recall saying to Mister
Husband afterwards, “that shit really works. It really does!” This time round I
found it nigh on impossible to listen to the CDs on a regular basis. In fact it
was only in the three weeks prior to giving birth that I made a strong and
conscious effort to listen to the VBAC affirmations. I used to put the CD on in
the kitchen and try to listen to it over the shouts and roars of the three
boys, but I did, however, manage to listen to it at night in bed. I do realise
that this was my fourth baby and my body, having been there before, was nicely
tuned into how to give birth. But even
with a first baby, your body knows what to do.
I am also of the firm belief that
hypnobirthing helped me during a very frustrating and anxious few days when all
I could hear was a very definite underlying, “well, we’ll probably end up
sectioning you anyway.”
At the end of
the day once you and your little bundle are delivered safely, that is all that
matters. But I believe it is also very important that we as women are listened
to and allowed the chance to birth our babies the way we want to. The way we
are able to. I wish each and every
pregnant lady reading this, the very best of luck and that you all get your
heart’s (and your body’s!) desire.
If you are still
reading, thank you and I hope my story serves some hope and inspiration to you
all.
Some books I
found to be of immense help to me are mentioned below. If you decide to read any of them, I hope you
find them as interesting as I did.
*Ina
May Gaskin’s “Ina May’s Guide to Childbirth”
Tracy
Donegan's “The Irish Better Birth Book” and “The Irish Caesarean and VBAC
Guide”
Marie
Mongan “Hypnobirthing: The Mongan
Method”