I was given the opportunity to put into practice the saying now indelibly etched on my hip.
I awoke at 7am on Wednesday and did a full day of house, kids, running errands, etc. Went to a workout class at 5p and then rehearsed for an hour for the shows this weekend.
Came home and had a nice dinner, talked with the kids, and began to think about bed.
The phone rang and the caller ID let me know that I probably would have other plans for the night.
I meet the couple at the birth center and things seem a bit grim.
Mom has been laboring for over 24 hours at home with her husband and doula. They are all exhausted, the labor pattern is erratic at best, and Mom is only 3cm dilated.
Also, Mom is feeling every twinge of this labor in her back - a classic sign of posterior position of baby - and a looong painful labor usually results.
This exact scenario is what led to Mom’s first birth by cesarean section - and that surgery led her to us. Mom really wants to push this baby out, but she is exhausted, beginning to get tense, and is wondering about her ability to handle much more labor.
Baby sounds perfect.
We send Dad to bed, we are going to need fresh people later as labor continues to drag on.
The doula and I work on getting Mom relaxed - and it is not an easy task. Contractions are only about 30 seconds long, coming at completely sporadic intervals, but with every one Mom becomes more and more tense, her thigh muscles are strumming.
After two solid hours of candlelight, constant stroking and calm verbal coaching, Mom begins to loosen up. Her breath comes evenly, her thigh muscles are quiet, she moans deep and low with the intensity. She is starting to surrender to this labor.
Mom asks for me to check her and a little progress has been made. For the first time ever I can clearly feel, through the sutures and fontanelles on baby’s head, how baby must rotate for this labor to progress well. I ask Mom if I can attempt to move baby and she agrees. For the next two contractions I gently apply upward pressure to one side of the back of baby’s head in an attempt to encourage rotation. I feel a little movement, both Mom and doula notice the shift, and we decide to see if this changes the pattern of her labor.
Back pain is still strong, but the contractions have a much tidier pattern and last longer.
It take another little while to encourage Mom to relax with this new upswing in intensity, but she settles into it.
Soon Mom is asking for Dad. She needs her honey to help her. He comes back in the room and they immediately fall into a great rhythm together. It is as if the rest of us fall away.
I send the doula to bed and wait through another 15 minutes of contractions just to make sure I’m not needed. I whisper to Dad that I’ll be the next room over, resting, and to come get me if they need anything.
40 minutes later my physician friend is at the foot of the bed. This woman is amazing and somehow from her home just felt that she should be there now.
Before she can express this to me, I hear Mom making serious noise.
I jump up, forgetting about shoes, and we run into the other room.
Mom is laying in much the same position I left her in, only now in a huge puddle of amniotic fluid.
She is obviously pushing in earnest.
We begin to fill the birth tub and, in rather a hurry now, gather birth supplies.
Everything we need is set up now, and I glance at the tub and think, “Yes! We are gonna make it!”
Just then Mom lets out a roar that makes us all stop and look.
I see the labia open just a tiny bit and then POP, out comes the head. I take two big ‘ol dancer leaps to the bed and support that head just as POP, out come the shoulders!
Baby is pink and screaming immediately, and I put her up on her Mama.
Nursing commences nearly immediately.
Mom is bleeding a lot and inspection shows a huge tear - the biggest I’ve seen.
Damn.
We stop the bleeding and keep Mom and baby comfortable and monitored.
Doc and I confer and both agree that this tear needs bright light and a surgeon’s touch.
We tell Mom that we believe it is in her best interest to go to the hospital and let an OB sew her up.
Doc goes with her and Dad, and the doula and I stay behind to clean up and clean and admire this cute baby girl. I tell her that April 17th is a good birthday to have.
When the family + doc return 2 hours later, we have breakfast and coffee. Baby latches on again for her own breakfast and we leave the new family to rest.
My co-workers are now showing up for what is going to be a full day in the clinic. I’m completely exhausted and fading fast - a loving co-worker puts a latte and a birthday present in my hands. I put on some fresh clothes and a little makeup, and find a spray of grey as I pull my hair back into an easy ponytail. Megan laughs and tells me that my ass and boobs will fall today, too. Didn’t I know that about turning 35?
My first client shows up and I’m just functioning at this point. I’m wondering how I’m going to get through the day, but every single client seemed to know that it was my birthday (I’m thinking the receptionist told them all!), and are very sweet and sympathetic that I’ve had no sleep.
I turned 35 at precisely 12:19pm, and the meeting room table is full of sweets, tiny presents and cards - and even hot veggie pizza with crunchy thin crust - my favorite kind. I fill my belly and laugh with my good friends.
One more client to see, and it’s a doozy. This Mom has recently been enveloped in a crushing postpartum depression that was bordering on full blown psychosis. I have never worked with such an extreme case and she has occupied much of my time and emotional energy. I brace myself and clear my head to see her.
She comes in smiling. Wearing cute clothes and a little lip gloss. Baby is resting peacefully in her arms. Her husband is smiling too. This is a good sign. We give one another huge hugs and she proceeds to tell me how wonderful she is feeling. She is sleeping, she is eating, she loves her baby and her husband. She cannot fathom that a week ago she was considering harming herself. She says, “On a scale of one to ten, 0 was my rock bottom. Now every day I climb a little higher - and today I’m an easy 8″.
The cherry on top.
I come home and my kids and hubby are falling all over themselves to make me comfortable. I ate some leftover duck from the night before, and nibble on the chocolate banana treat that Filbert made just for me for my birthday (I just couldn’t tell her that I was on total sweet overload!).
I fall into bed before dark and realize that I really did have a birthday today. I didn’t go out and I didn’t whoop it up and I didn’t feel particularly sassy - but I was showered with love and I worked my ass off and all in my care were loved and are doing well.
Rock on.