




I've been wanting desperately to write down the story of Addie's birth, but I've also been sort of reluctant to tackle it. It was an undeniably arduous experience...I'm sure labor always is...and it really couldn't have gone LESS to our plan. It's been hard to talk about it without getting emotional, but I do want to record what happened, how I feel about it, and also what I think I've learned. And most importantly, I of course want to talk about Addie and how amazing she really is.
I went into labor at about 4:30 in the morning on the 16th. I got up and tidied up the house a little bit, re-checked our hospital bags, and started timing contractions. They were about 8 minutes apart at this point and strong enough that I needed to concentrate on breathing through them. I took a shower, which had always previously stopped any contractions that I'd had. These continued to increase in frequency and strength, so I woke Tim up at around 7 and asked him to start getting ready. By 8:00, I was resting on the bed for the contractions and really concentrating on breathing through them. They were five minutes apart at this point, and at 8:10 AM, I literally heard and felt my water break. That pretty much cemented the whole "this is real" thing, so we finished up around the house and made our way into the hospital at around 9:30 AM.
Up until this point, I felt really calm. In retrospect, this was the best part of my labor. I was definitely in pain and definitely needed to focus all of my attention on breathing and relaxing through the pains. Nonetheless, I felt good...very focused and calm.
The process of checking into the hospital, however, really disturbed me. It wasn't that anything was done badly, it was just that my whole practice of hypnobirthing was predicated on a very calm and relaxed environment. Suddenly I was in a place where I couldn't control anything and I couldn't even lie down through my pains at first. I definitely started to panic. The bathroom was really far away, and I was hooked up to a fetal monitor that inhibited my ability to lie in the position I felt most comfortable being in. Once I was out of "the zone" everything seemed much more painful. My contractions were two minutes apart at this point and literally off the charts in terms of strength. I thought "oh well, I must be making some real progress at least" and thought I could hang on until things calmed down.
The midwife checked me and said I was 4.5 cm dilated and that it would probably take me about an hour per cm. This is pretty much when my wheels fell off. I thought "oh my goodness, I cannot do this for five more hours with all these people rushing about" ...I basically completely panicked. Needlessly, as it turned out, because by 12:30, I was already at 8 cm. Essentially, I thought I was at the very beginning and it was going to get much worse...when in reality, that was the peak of how "bad" the pain was going to be. However, this being my first time...there was really no way for me to know that in advance.
At any rate, I got an epidural and that turned out to be detrimental to my labor. This is where I feel like things were handled badly by the hospital. No one asked me what my goal was with the epidural, or if I'd ever had a weird history with any type of anesthesia. They basically knocked that baby right out of the park. I couldn't feel a thing or even move my legs. This is when my contractions started falling off in intensity and frequency. Apparently they were supposed to be testing my level of feeling with ice or alcohol strips. That never happened. I wasn't called complete until 6:30. This means that it took around six hours to get my final two centimeters.
I started pushing then...but I wasn't making much progress. In retrospect, it's not surprising, because again, I couldn't feel ANYTHING or move anything. The midwife suggested that I take Pitocin, but I was against this type of intervention. I asked them to turn down the epidural at this point. However, I'd already been pushing uselessly for an hour and a half. I did have my only period of productive pushing here, but again, my contractions weren't incredibly strong or regular. Eventually, they gave me Pitocin to help my contractions strengthen. This caused the relentless awful Pitocin contractions that everyone dreads, but I did seem to make some more progress pushing. However, it hurt like the dickens, and I was utterly exhausted. After three and half hours, the midwives called in the OB team to evaluate the situation.
They decided that Addie was far enough down the birth canal that forceps might be helpful. So I was taken to the delivery room and asked to push with the forceps. That was all well and good, but they turned the epidural back up in order to use the forceps....and I was back to the useless pushing. Not to mention being seriously disturbed at two full grown men yanking on my child's head with all their might. I'm pretty sure this is when I started crying, because I knew what was coming.
Sure enough, they decided I needed a C section, since Addie's heart rate was showing some distress. They tried numbing me through the epidural but that didn't work either...as we discovered when they started cutting. That was highly unpleasant. So I was knocked out and intubated for Addie's actual birth. Tim had to leave for that part, which was also really upsetting.
Adelaide Campbell Ewald was born via C section at 10:42 PM...nearly 18 hours after my labor first started.
When I came to about an hour later, I was very out of it, but I was filled with profound relief that Addie was all right...and surprise that she was a girl! I remember trying really hard to focus on her, and having great difficulty doing so....but noticing right away that she had Tim's eyes. I also have vague memories of people holding Addie up to me to feed and someone literally holding my breast in her mouth so that she could eat. I'm really glad that they did that, but again, her first feeding is kind of hazy in my mind.
I do feel a lot of ...distress...at how stressful and painful our labor was. However, I am trying to focus on the fact that we are both totally fine. The outcome is the important part. And the outcome is so wonderful in this case.
I do have a lot of grief though, and I think I sort of have to give myself permission to feel grief over what happened. I wasn't actually "present" for my baby's birth. I didn't hear that first cry, didn't see her emerge into the world, and don't even really remember her first feeding. That's completely heartbreaking. Is it the MOST important thing? No, clearly her health was the main goal, but it was certainly AN important thing, at least to me. And I am most definitely not happy about how the labor and delivery progressed. It's confusing, because it feels somehow like saying that means that I'm unhappy with her. Nothing could be farther from the truth...but I do feel like our experience was not the positive one Tim and I truly hoped for.
Recovery was pretty wretched. I basically had to recover from the nearly four hours of hard vaginal labor, forceps, and a c section. Three labors, in essence. I was horrified by how many pads, bandages, pills, and tubes it took just to hold me together. I was hugely swollen with fluids...so much so that I weighed more after delivery than before it, despite a nearly nine pound baby and placenta and such. I've never before been seriously ill or injured and it was a shock to my system to be so weak and in so much pain. I did not really enjoy my hospital stay...for physical reasons, but also because it was NOT restful. We actually left early despite the battered shape I was in...recovery was just much easier at home.
They officially called Addie's birth a case of "cephalo-pelvic disproportion" or CPD. Essentially, they were saying that her head was too large for my birth canal. However, I have no idea whether or not this is actually the case. Addie's head isn't huge. The surgeon said that I was a "good candidate for vaginal delivery"...meaning that I don't have an abnormally small pelvic opening. Maybe it was the case that I was never going to be able to deliver Addie naturally...or maybe it was a case of interventions leading to a cascade of interventions.
At any rate, should we be so lucky as to have another child, I am even more firmly resolved to labor naturally. If I end up with a C section again, so be it, but I am not at all confident that we truly were a case of CPD.
I AM confident that I ended up with a strong and wonderful baby. Adelaide is a joy. Tim and I might have been somewhat scarred by her birth (me, literally!) but her presence is nothing but a blessing. I'd go through the whole thing again, even knowing how tough it was, and I don't say that lightly. She was worth it.