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Thursday, November 17, 2016

Antonio's Birth Story


Antonio's first latch at the breast.

I didn’t know I needed a healing birth experience, but that is what I got.  Antonio was born three weeks early, weighing in at 6 pounds 4 ounces (born a week sooner than his sister, but already 10 ounces heavier, which proved to be great news for establishing our breastfeeding relationship.)




Around 36 weeks is when I realized my pregnancy may have been treating me so well that I got so used to being pregnant that I forgot it was a temporary condition!  At my baby shower, which Natalia’s godmother Courtney planned for me, I remember telling her all the things that still needed to get done:  baptism class, backup hospital tour, belly blessing henna, birth assistant home visit, an acupuncture appointment, several church events we wanted to squeeze in, the list went on… On one hand, I knew I was cleared for homebirth as of the day of my baby shower – 37 weeks.  On the other hand, I realized I waited too long to schedule several things that could’ve been done earlier.

Day before birth, weighing in at 178+
The week before, at my then weekly midwife visits, Antonio was already at -1 station and my cervix was soft.  Fundal height was 35 weeks, same as the week before.  I got the go-ahead to start drinking raspberry leaf tea to help tone my uterus.  I was holding off since some women claim that it triggered labor for them, and I needed to be past 37 weeks to deliver at home.  So Friday, I got a little ambitious and had two cups of tea, and another cup the following day.  Saturday evening, right in the middle of the vigil mass, I started to have some discomfort at the top of my uterus.  It felt like Antonio was stretching and pushing his extended legs up into my ribcage, something he’s done on occasion in the last couple of weeks as space started to run out.  Except that it kept coming back. 

An hour after mass ended, we were picking up the baby shower cake and ordering Natalia’s birthday cake.  (We had decided to celebrate her birthday early to make sure she had our undivided attention before Antonio’s birth. That was the plan, anyway.)  At the bakery, I started to think that I may be having Braxton Hicks contractions.  I didn’t experience them with Natalia, but I had read enough to think that may be what it is.  Another hour later, at home and after a quick online search, I felt confident that indeed I was having Braxton Hicks contractions, which ended up continuing for the rest of the evening, around 6 hours total.

I was starting to worry that labor had begun, so I texted my sister-in-law with a heads up to pack an overnight bag when she came up for the baby shower the next day.  She and her daughter Jade were on call to watch Natalia during the birth.  But luckily, some pain meds and laying down for the night made the BH go away.  In the morning, I figured I was in the clear, and indeed went on to have a great time at the baby shower.

Cutting tres leches cake at baby shower, 2.5 days before birth.
Oscar and I figured he wouldn’t wait until 40 weeks, but we had no idea his arrival was right around the corner.  Over the weekend, Oscar cooked up a storm, which I should’ve known to attribute to his nesting.  That man has more parental instinct than many women!

Monday after the baby shower, Oscar showed me his phone tree roster in case I needed to reach him while he was in class and away from his desk at work.  We also managed to cross one final item off our to-do list: attending the baptismal class at church Monday evening.

Tuesday morning, while still chilling in bed as was my custom, I was texting Jackie, a local friend, to see about her watching Natalia in case my sister-in-law got delayed.  Natalka was up and we were talking about the plans for the week when all of a sudden my water broke.  I knew almost right away, but I was in disbelief anyway.  It couldn’t have been pee, even though I certainly had my share of accidents this pregnancy, because there was no warning, no pressure on my bladder, and no attempt to stop the stream worked.  I rushed to the bathroom to try to catch as much of the liquid as possible into the toilet.  Once there, and after realizing the liquid kept gushing in spite of me having peed and stopped, I pushed aside thoughts of denial and remembered to check the smell of the liquid to confirm if it may indeed be amniotic fluid.  There was no smell on my pants and undies, indicating that it wasn’t urine.  I jumped in the shower to rinse off and watched more liquid come out, along with an ever tiny red clot.  I had been reading about the mucus plug, didn’t recall seeing it with my first delivery, and wondered if I might see it this time. 

Once I got somewhat cleaned up and prepared with a pad and new bottoms, I tried to talk Natalka through what I needed to do (as much for my own benefit as for hers) without making any rash assumptions.  I needed to speak to a midwife for official confirmation.  I was still holding out a tiny bit of hope that my to-do list could still get done, but by the time I had cleaned up and dialed, I pretty much knew it was go-time.

Within minutes I was speaking with Jennifer, the midwife who caught Natalia three years earlier, and she confirmed what I figured – my water had broken.  Which of course meant that baby was coming, and my to-do list was officially dismantled.  Now I had a new to-do list.  Notify all the relevant people.  Do some basic clean up to prepare for labor-mode.  Try to keep calm and limit excitement.  Keep Natalka in the loop.  Await contractions.

Helping daddy fix the vacuum cleaner as we await contractions.
My phone was already in need of a charge when my water broke, right at 9 o’clock in the morning.  So once I spoke with Jennifer, I had to plug in for a bit to be able to have complete conversations with my sister-in-law, the birth assistant, and Oscar, whom I’d have to track down via the phone tree he had just shown me the night before.  So as I waited for my phone to charge up a little, I tried to keep business as usual as much as possible, making and eating breakfast with Natalia while sitting on a folded up towel so as not to mess up the chair upholstery.  I threw in a load of laundry, did the dishes, vacuumed upstairs.  I spoke to Yoli to let her know that my water broke, but that there were no contractions yet.  I didn’t want her rushing, but I did want her to start making her way up here, as she had a two hour drive, and that’s if she were to leave immediately, which she couldn’t do because she was at work and needed to go get her daughter and, per Natalia’s request, their little dog Licho.  I didn’t want the added stress of worrying about her on the road, so I stressed that there were no contractions yet.

Then came the moment of truth.  I felt bad that Oscar wasn’t the first to know that it was go-time, but I had to keep to a certain order, and notifying people that would take the longest to arrive had to come first.  I got out his phone tree roster and called the first person.  No answer.  Second person, no answer.  Third person, call got picked up by the second person, which confused me for a split second, but luckily I was on top of it and went straight to an impromptu script: “Hello Steve, this is Karolina, Oscar’s wife.  He asked me to use the phone tree roster if I needed to reach him.  It appears that I am in labor.  Could you please track him down and let him know?”  As I was asking my question, I heard Steve already saying “oh, oh, ok…” I was calm, since there were no contractions yet, but of course Steve probably pictured the typical movie scene of a mad dash for the hospital.  From what Oscar tells me, it did look a little that way on his end.  He was at the front of an auditorium when Steve and Kerry, another coworker, bolted down the aisle to tell him the news.  Oscar jumped up and took off, then rushed back for his sweater, then rushed back out the auditorium, encountering yet another coworker who apparently had gotten the news and was also coming to make sure he knew. 

Natalka loving the attention from Tia Yoli and Jade.
Back on my end, I had originally planned on taking Natalia to Jackie’s that day for a play date, but since she had been under the weather and they already saw each other the night before while Oscar and I were at the baptism class, I had texted her to move it to the following day.  In the process, I had texted my mom to try to move up our regular Wednesday Skype call to Tuesday.  Well, once I knew I was in labor, I cancelled all Skyping with my mom, but later decided to try to Skype with her anyway since I was still not having contractions three hours after my water broke.  I contemplated telling my mom what was going on.  I had a long phone conversation with her during labor with Natalia, without spilling the beans, and I wondered if it might be better to tell her this time, but then I thought I didn’t want unnecessary excitement, nor did I want her to worry, since homebirth wasn’t something she really rooted for.  We Skyped for a bit, nothing got told, and we agreed to Skype again the following week, as usual.  I almost said something about Antonio wanting to run for president, since it was Election Day, but I played it safe and said nothing.

Natalka staying busy with cousin Jade, next door to where the action was!
Before Oscar got home, I also spoke with the birth assistant that we had assumed would be attending the birth, because she lived closest.  She had already been notified to be on alert.  Interestingly enough, that morning, she had emailed me to reschedule her home visit, which was scheduled for that day, because she was working on the election campaign and had forgotten about attending a watch-the-results party that evening.  I joked about ruining her party, but she ended up not being the one to come anyway, so all worked out.  The same birth assistant who attended Natalia’s birth would be the one attending Antonio’s birth.  Mary Beth had texted to let us know she was coming, and Jennifer had asked if she could bring one of the newer midwives at the practice as well, who apparently was still a student at the beginning of my pregnancy.  I mentioned briefly to Oscar that we were looking at having three more people at this birth than the last – four if counting Natalia! On the surface, it sounded excessive, but it turned out to be just what was needed for a great birth experience.

Natalka hanging out with birth team, who were letting me labor uninterrupted.
Oscar hit the ground running when he got home. He made the bed, took out the birth supplies, cooked something, did several other things I don’t even know what, and after the Skype call with my mom, we were sort of looking at each other with a bit of relief.  While our big to-do list wasn’t going to happen, the nitty gritty stuff was all done.  We were ready.  And still waiting on contractions.
I called Jennifer as we had agreed upon, so that she could give me some ideas about how to kick-start labor.  I had forgotten that I should be trying to nurse Natalia in order to help bring on contractions, which Jennifer reminded me of.  But even so, this didn’t end up helping.  Yoli was already in the area when Jennifer suggested I take castor oil to induce contractions, and since Oscar was on the phone with her while I was speaking to Jennifer, I took the opportunity to ask for Yoli to pick some up so that Oscar wouldn’t have to leave.  It still took an hour before Yoli arrived with the castor oil.  I called Jennifer to let her know the castor oil was here, and she instructed me to take the first dose. 

cuddling during contractions

Since Yoli and Jade were here, and Natalka quickly turned her attention to them, Oscar and I were free to help me focus on getting into birth mode.  We sat in the playroom, HypnoBabies relaxation music in the background, and Oscar read to me the Visualizing Your Birth script.  It was mostly to give me the rhythm and tone of his voice to focus on as a way of winding down, putting aside the concerns of everyday life, and getting mentally focused on what was most important right now.  
Midway through this pregnancy, I had realized that I wasn’t really prone to being hypnotized.  After all, I resisted being mentally stripped down in Basic Training in order to be indoctrinated with an Army identity.  So we had stopped doing hypnosis scripts and I had no expectation of using hypnosis to try to mentally take me away from the contractions or pushing sensations. 

What I knew was that I needed to relax and stay relaxed and keep being reminded to relax, as much as possible, from now on.  And hearing Oscar’s soothing voice and positive description of what was upon us was just the ticket.  During the thirty-minute session, I was able to count Antonio’s 10 kicks, which reassured me, since I hadn’t really felt him move much since my water broke.  In addition, I started to feel the tiniest hint of very mild abdominal cramps.  Grumbling, really.  Which makes sense, since the castor oil was to bring on diarrhea before labor contractions were to be expected.
Natalka helping Mary Beth listen for Antonio's heartbeat.
I had started keeping track of what I was doing in a little notebook, starting with time of my water breaking, whom I called when, when I ate and drank.  I started keeping Jennifer in the loop by text with less than glamourous updates of bowel movements and possible/potential contractions.  4:30 ish is when I started to notice some regularity of cramps, which varied between 4-8 minutes in frequency, but they were still so mild I wasn’t sure I wanted to call them contractions.  By 6:30, I wasn’t uncertain anymore, and that is when Jennifer noted in my chart the official start of contractions.  I’d keep track for about a half hour, sitting on the throne, since the castor oil was doing its job.  I found it a bit comical that Jennifer instructed me to let her know when the pooping had stopped, and Oscar and I joked that she wanted that to be over with by the time she arrived.  Perhaps that was the point, but I’m sure there was also a legit reason for it.  At my postpartum home visit, she noted that I had labored well on my own with my first pregnancy, so she didn’t want to step in too soon.

Note Natalka's hand on my belly as she's giving me my relaxation cues.
I was breathing through the contractions with low vocalizations, and while they were uncomfortable and required my full concentration, as soon as each was over, I was lucid and perfectly fine.  Jennifer, Chloe (the second midwife), and Mary Beth arrived around 8pm.  They finished setting up shop, since Oscar had started to prep the birth supplies earlier, and checked baby’s heartbeat. About an hour or hour and a half later, they recommended that we go for a walk to try to regulate the contractions some more, as they had gotten a bit closer together, ranging from 2-4 minutes apart, but only lasting under a minute.  Natalia was having such a good time with Tia Yoli and Jade, playing a dinosaur puzzle on her Tia’s phone that she didn’t want to go for a walk with us.  Oscar and I ended up going for a 20 minute walk, just the two of us.  Talking in the moonlight, pausing to embrace during contractions: who knew there could be a romantic aspect to labor?

Talking and smiling between contractions.
When we got back, I felt tired and decided to lay down for a bit.  Oscar and I cuddled on the bed, but not for long.  Maybe two or three painful contractions later, and I was ready to rush to the toilet once again.  This time, things got real, and I noticed my legs started to shake with each contraction.  I lost my inhibition and didn’t mind having the bathroom door open and my birth team checking in on me while sitting with my pants around my ankles.  In between, I was tired but lucid, and aware that things were picking up and we were getting closer to the main event.  It was around 11pm.  When I asked for his feedback, Oscar alerted me to the fact that I was transitioning.  Remember, I said he is quite intuitive! 

We make a great team.

Once I felt that the toilet trip was done, since apparently I was passing mainly the castor oil now, I moved to the bed.  The contractions were very painful now, and while I wasn’t sure how close we were to delivery, I didn’t want to know and be disappointed.  I kept hearing Jennifer encourage me to “bring the baby down”, which I wasn’t sure what that meant.  At one point I heard a brief exchange between the midwives that I thought meant I was only 2cm dilated (I heard something like “she’s two”), but I didn’t really worry too much about it. (I wasn’t getting any vaginal exams, so there was no way to guess how dilated I may have been at the time.) I probably endured these contractions on the bed for about an hour.  I was not only vocalizing loudly at this point, but my whole body was involved in trying to capture the sensation and ground it away from me.  The birth video confirms the raw and wild jungle-like sounds and movements that I figured I was making.  But I didn’t feel in the least bit concerned about it.  I felt confident that my body was doing what it needed to be doing to bring Antonio into the world.

Natalka staying close by so as not to miss her brother being born.
Initially, I tried to be in a squatting position during the contractions, as that felt most grounding to me, but the contractions were so exhausting that I was laying down in between each one.  So that meant I was exerting a lot of energy every minute or two getting up and into the squat position.  I was not happy to hear Jennifer point this out and suggest I stay laying down during the contractions.  After all, one of the main reasons I wanted to deliver outside of a hospital was to avoid being in an “unnatural” (ie. against gravity) position.  But the truth was that the contractions weren’t any less painful in the squat, and I wasn’t sure how much longer I’d need to endure since I hadn’t heard anyone say anything about baby’s head crowning yet.

Bearing down with the contractions while laying down, both on my side and back with one leg supported, felt a bit like being in a black hole.  The intensity of the contractions seemed to swirl around me, like a tornado starting and returning to somewhere in my yoni core.  It wasn’t quite like being weightless, but rather like gravity was all around me, not just below me.  And then I felt the urge to push.  No one told me it was time to push.  No one had to.  I knew it was time.

I started to push.  I don’t know if it was with contractions or not, it was somewhat rhythmic though.  And it hurt.  I thought it couldn’t get worse, but it did.  I maybe pushed a couple of times before realizing I needed to be more grounded again, and I flipped onto all fours.  At this point I felt the infamous “ring of fire”, but I didn’t equate it with crowning.  I just knew it was normal and meant progress.  And I tried to use some sort of visualization to change the image of a bright-red ring of fire to some sort of softer, cotton-candy circle, but I couldn’t focus on that image very long.  Probably soon after that, I felt myself reach down between my legs and quickly realized that I felt Antonio already partly out!  It was more than just crowning, I didn’t have to reach very far to feel what I’m assuming was his face!  (With Natalia, Jennifer suggested I reach down to confirm crowning, while I was still laboring on the toilet, and I felt her wet hair still just inside me.)

My little alien, covered in vernix, or as Natalka initially call it, "queso" (cheese)!
What happened next is the most impressive part of the whole ordeal.  I knew I had to push him out, but I also knew that if I didn’t try to control his exit, I would tear again.  Even though it felt counter intuitive, I changed my breathing.  My initial go-to was the classic “Lamaze breathing” – short shallow breaths.  I’m not sure what was wrong with that, as I heard Jennifer suggest some other form of shorter breaths, but I think I just stuck with what I felt would slow down Antonio’s exit.  Of course this meant keeping his head in the ring of fire longer than I’d normally want, since my natural inclination was to get him out as soon as possible.  But I was able to control my breathing right in the most difficult moments.  It didn’t take very long before I felt the glorious release of his head leaving the ring of fire and the rest of his body slipping right out. 

Immediately I think I said “Oh my God, he’s out!”  I didn’t wait for instructions; I slowly started to flip to lay back and get ready to receive my baby.  (With Natalia, I was completely oblivious to what needed to happen next.  I didn’t even understand the instructions that were being given to me.)  As soon as I was laying back, my little Antonio was being handed to me, from Chloe to Oscar to me.  I quickly lifted my tank top to allow for maximum skin-to-skin contact.  His cord was short, so I couldn’t lift him beyond my navel, and he kept kicking me in the crotch.  He looked like he got dipped in vernix on purpose!  His face was swollen and it looked a bit purplish and shiny.  In retrospect, I think he looked like a little alien!  I immediately wanted to change my guess at his birth weight.  (We had taken guesses from everyone present at the birth, minus Natalka, and I was at the top of the range with 7#3oz.)  I now wanted to drop it by a full pound.  I was told that as the mom, I was the only one allowed to do so.  Turns out I wasn’t very far off, but it was Jennifer who guessed his correct birth weight of 6#4oz.

We're all meeting Antonio together.
Natalka was immediately at my side, meeting her baby brother.  She had apparently been able to watch him be born, and was quick to touch him and say hello.  She didn’t leave my side for the longest time.  Oscar, of course, never left my side. (I feel so bad for women who don’t have a supportive spouse in such an intimate and life-changing moment.) We began bonding as a family right away.  There were instructions now coming in between our family conversation regarding the placenta, but it was all in the background.  I pushed several times – my chart shows it took 12 minutes of pushing to get Antonio out, and another 19 minutes before the placenta was delivered, but I did not spend that entire time pushing.  Delivering the placenta felt funky, especially after having just passed a human being through my nether region.  It felt slimy and slippery; I think I would say that it even tickled on its way out.  And again, Natalka watched the placenta be delivered as well.  She had been very well prepared to attend her brother’s birth, if I do say so myself.  She took it all in with great interest, not a single indication of anxiety or discomfort.  She knew what everything was – why mommy was being loud, why it was so dirty under mommy, how Antonio would come out head first (at least that’s how we had coached him together), and how the placenta would need to come out last.

Waiting for umbilical cord to stop pulsating.
Natalka and Daddy cutting the cord.
I had wanted to deliver the placenta while it was still attached to Antonio, but because the cord was short and I wanted to be able to bring Antonio up to me already, I agreed to have the cord cut since it had turned white and stopped pulsating.  Natalia helped Oscar cut the cord – something she had indicated an interest in doing; I don’t remember suggesting it to her.  She must have made this connection in her play, since she had been assisting her giant stuffed giraffe in her births, which of course included cutting the cord.

Immediate family bonding while working on delivering placenta.
We attempted the newborn breast crawl.  Perhaps I should’ve done a bit more research on this, like how long it might reasonably take.  But while we did see Antonio wriggle himself up my torso bit by bit, I got anxious about making him wait to breastfeed, so I finally decided to bring him to the breast myself.  I kind of wish I had been able to watch him latch on all by himself, but in the end, I just wanted to give him what I knew he wanted and not make him have to work for it so hard! 
Nursing also went well.  The 10 ounces difference in weight between Antonio and his sister, and the fact that he has a high palate while Natalia had a low palate, must have made sufficient difference to make nursing go swimmingly.  My milk came in on day three, and at his pediatric appointment the following Monday, he was just an ounce shy of being back to his birth weight. (At his initial pediatrician visit on day two, he had lost 2.5 ounces.)
Daddy signing "boy" :)

Antonio getting weighed.
I am absolutely overjoyed at how this birth turned out.  Part of it was experience, having figured out what worked and what didn’t work last time, I was able to make necessary adjustments.  This included not staking my comfort measures on hypnosis and a birth tub, but rather on teamwork with Oscar, who consistently reminded me to relax specific parts of my face and body that would tense up during contractions, as well as giving me touch therapy along with my relaxation cues.  Hearing his voice and feeling his hand on my shoulder or face or neck or knee gave me something to focus on other than the pain of the contractions, and his calm demeanor and specific relaxation suggestions gave me something specific to work towards other than succumbing to the pain.

I was also able to get into the zone much earlier (before the first contraction started!) and had the support I needed throughout. If I didn’t know something, Oscar was right there to reassure me. I never felt disconnected or uncertain about anything.

   

Part of the success of this birth must also have been physiological, though.  Natalia was born with her cord wrapped around her neck and torso, flew out within one push which led to tearing, had a velamentous cord insertion, which may have contributed to my postpartum bleeding, and had a very difficult time establishing a good nursing relationship.  After Natalia’s birth, I lost a lot of blood and needed a shot of Pitocin.  The blood loss apparently caused me to go into shock.  And of course I needed stiches. 

With Antonio, I didn’t have any of these problems.  Granted, labor had a slow start due to his nuchal hand presentation (he was propping up his face with his right hand on his way out), but amazingly that did not interfere with delivery.  (I should note that the midwives used some inversion techniques to pull Antonio out of my birth canal and have him reset in a better position in order to get a move on the contractions.)

My wonderful birth team; Jennifer, Mary Beth, Chloe.
I can’t imagine getting the kind of holistic level of care I received with a gynecologist or at a hospital.  My birth was normal, healthy, and went according to “plan”.  The plan belonged to Antonio, my body, and God Almighty, not hospital policies or a fear-based medicalized model of care.  Once again, I feel connected to the countless women who have gone before me, all around the world, who have brought their babies into the world in this raw, grounded, tuned-in manner.  My body was made to give birth, and did give birth successfully - twice.  Antonio’s birth solidified for me what Natalia’s birth first established; God made me a woman, and He made me a woman for a reason.  No, the reason is not to pop out babies.  But for me, for my family, giving birth to my children was indeed part of the plan, and what a perfect plan it has been.  For the rest of my life I can look at my two children and say, I did that – I brought them into this world.  I was a part of God’s forming them in my womb.  I am a part of something eternal, something supernatural, something divine.  I am so blessed to have been made a woman, and so blessed to have had this wonderful, healing birth experience to help me realize it.  

Waiting for contractions to start.
One week later. 

 Welcome Earthside, my little Antonio!  Love, Mamusia


NOTE: To read Natalia's birth story, go here