Showing posts with label my births. Show all posts
Showing posts with label my births. Show all posts

Tuesday, July 30, 2013

The Beauty in Breastfeeding

I am taking part in Mothering.com's contest "Blog about Breastfeeding" to celebrate World Breastfeeding week!  Here is the link!  http://www.mothering.com/community/a/blog-about-breastfeeding-and-win   Please feel free to enter-- let's celebrate the beauty in breastfeeding!!
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I am a mother.

I am a nursing mother.

I am also a lactation consultant in a busy urban hospital.  My journey to this point has been full of joy, determination, sleepy hazy nights, warm milky cuddles, a tremendous amount of studying, and, I believe, God's hand of grace.  Breastfeeding, not only nature's perfect way to nourish and sustain and grow and love our babies, was also the magical beginning of bonding with my first baby.  The first time I latched my sweet son to my breast, I felt a tingling, shivery sensation that flowed from my head to my toes and deep into my heart-- like I was waking up.  I was, now, fully a mother.  I was a woman.

You see, my relationship with my newborn son had a rocky start.  I was a new gradate nurse with some labor and delivery experience with a fantastic new job in a hospital nursery.  I just assumed that everything would go smoothly in labor and my birth would be complication free.  I was a healthy young woman who had a fabulous pregnancy and had no reason to think otherwise.  I was nervous and excited.  I was completely and totally unprepared for the roller coaster ride of my first birth.

I was admitted to L&D unexpectedly for immediate induction for a diagnosis of oligohydramnios following a routine post-dates sonogram.  I was classified "high risk" and was shackled to the fetal monitor.  Every minute, I felt more and more autonomy slip away as I was told what was going to happen to my body and my baby.  I felt like I was spinning out of control.

Cervidil.  Pitocin.  Body-wracking contractions and ruptured membranes.  No choice but epidural.  Still feeling nervous and excited, but also, in a way, darkened.  This was so much harder than I thought.

Fully dilated!!!  ELATED!  Pushing.  Pushing.  Pushing... Three hours.  Flat on my back, heartburn, sweat, tears.  Exhaustion, disappointment.  The "coaching" turned into yelling.  I felt like I was totally silenced.  No longer a beautiful pregnant woman, but now just a shell of a body.  Just get this thing out of me.

An exam: he was direct occiput posterior.  Attempt to manually rotate... fresh mec, decels... "C-Section."

All of a sudden, I went totally numb.  I couldn't think.  I stared at the ceiling tiles in a daze as they wheeled me to the OR.

Surgery.  Clanking of metal instruments.  "You'll feel a little pressure now."  Pressure, YES!  This was awful.  I couldn't wait until this was over!

And then: "WOW, what a big baby!"  No cries.  He was being suctioned for meconium.  I (as much as I HATE to say it) didn't care.  I was angry.  I was blaming my own baby.  I wanted nothing to do with him.  I am ashamed to admit that.

After what seemed like forever, I was wheeled to recovery.  By now, my baby was doing just fine, and being doted upon by his entourage of waiting family.  I was resting; shutting out the world, trying to process "what the heck just happened to me??"

By the time my arms stopped shaking an hour later, I was able to sit up and was finally physically capable of holding my baby.  Was I emotionally ready?  I really can't describe in words the emotions swirling in my head.  I had been so so so so excited to meet my sweet baby.  He meant the world to me.  I love him.  But, I was reeling from overwhelming sadness and confusion at how the birth made me feel.

The newborn nurse brought him to me and said: "he has to go up to the nursery for low blood sugar... if you want to nurse him, you have to do it now."

::Deep Breath::

Alone with my husband and my baby.  Our new family.  Nervous and excited, I instinctively brought my (adorable) baby to my breast.  He latched on!  Like magic!!!  I looked on with amazement as he nursed perfectly, like he knew how to do it all along.  He was teaching me.  "It's going to be ok, mom."  He looked up at me with such vivid and deep blue eyes and I felt it:  LOVE.  Perfect and pure.  Fire, warmth, glowing.  He unlatched and smiled one of those heart-melting newborn smiles and I saw his sweet dimples for the first time.  Ok, yep.  I am this baby's MOM.


We enjoyed a lovely breastfeeding relationship into toddlerhood.  I then nursed his little sister.  A whole host of new challenges arose with her, but we figured things out.  When she was 13 months old, breastfeeding saved me again.

I was (surprise!) 12 weeks pregnant with my third child when I began to miscarry.  I was devastated and heartbroken.  I labored quickly and intensely at home, delivering my tiny baby into my hands.  Perfect and beautiful.  But then, I hemorrhaged.  My husband, strong and steady, helped me to the couch.  I lay down, bleeding, and called 911.  I was losing so much so fast.  I was scared.  I tried to stay calm.  The fire department arrived and gave me two 18 gauge IVs.  I felt helpless.  I called for my toddler, my sweet one year old daughter.  She lay next to me and nursed.  "MMMMmmmmMMMM." She played with my hair, looked me in the eyes (oh, she also had those vivid, deep blue eyes with all the wisdom in the world!).  I felt safer with her in my arms.  Honestly, I didn't know what was happening to me.  Would this be our last time together?  My daughter, innocently and adoringly, rubbed her chubby little legs against my bloody body.  It seemed so ridiculous and so surreal at the time; these huge strong firemen standing around, waiting for the paramedics to arrive, keeping watch over my nursing toddler and I.  This is one of my favorite breastfeeding moments of all time.  She kept me strong in her embrace.  I could not slip away... I had to stay strong for these babies of mine!  I survived after a long night of transfusions, surgery, and the strength I was given through the love my children.

I totally fell in love with breastfeeding after that and decided to pursue my IBCLC.  I had to help other women discover this.  My daughter nursed until 26 months, through a second miscarriage, and a long season of grieving.  Nursing was as much for her benefit as for my own.

Then, four months ago, I experienced The Beauty yet again.  After much prayer, yearning, waiting, longing... my rainbow baby came to me.  I had the most amazing home water birth.  After a quick and strong labor, I roared my baby into the world, lifted her out of the water, and stared in stunned silence at the way she was just looking at me.  Vivid, deep, beautiful blue eyes: so wise, knowing, and peaceful.  She didn't cry.  She just gazed up at me sweetly.  Naturally, easily, wonderfully, she latched on and nursed minutes after birth.  That warm tingling shiver raced up and down my spine again.  Fire, warmth, glowing.  The simplicity of it all so stunningly beautiful.

I am a mother.  I am a breastfeeding mother.  It is not something that *I* do, but something that my children do for me.  Learning, growing, thriving together.  There is just so much beauty, strength, and power in breastfeeding.  Nursing opens an incredible connection between mom and baby that, if you let it, can change you forever.

Tuesday, April 23, 2013

Shiloh Lark's Birth Story!!!

SO excited!  I had a glorious home water VBAC of my sweet rainbow baby!

Here is the birth story!:


My first child was born via emergency cesarean after a long and intense induced labor.  I struggled with postpartum depression afterward and my views regarding birth began to change.  I was a brand new nurse working in a newborn nursery at a busy hospital and had precepted in labor and delivery during school.  I thought I was well informed going into my first birth, but was woefully unprepared for the level of manipulation and coercion I experienced.  I was forced into the unwanted induction for oligohydramnios and felt pushed along through the “birth assembly line.”  My experience as a new mom drastically affected the way I practiced nursing at work.  I was so full of compassion for cesarean moms!



            Thankfully, after much research, prayer, networking, reading, and soul-searching, I was able to have a natural Hypnobabies hospital midwife-attended VBAC with my second child (9 lb 8 oz!).  I was so excited and so happy to have had a physiological birth that it changed me in a deep and profound way.  I became quite the VBAC advocate and read everything I could about natural birth!  I knew at this point that I just had to be a certified nurse midwife one day! 


            So, when I was pregnant with my third baby, I sought out a homebirth CNM.  During our consult, she told me I was an excellent candidate for HBAC because of my previous birth. I was so excited to begin dreaming and planning for our home water birth!

            Unfortunately, at 12 weeks, I miscarried.  I went into a very intense but quick labor at home and delivered our tiny baby.  I then hemorrhaged and wound up losing half my blood volume and going into hypovolemic shock, requiring 5 units of blood products, 6 other bags of fluid, and emergency surgery.  I received harsh treatment in the hospital for having a homebirth midwife.  I couldn’t believe I was being yelled at for planning a homebirth when I was in critical condition and wasn’t even pregnant anymore!  I was appalled by the hospital staff and was amazed by the love and compassion from my midwife (what a drastic difference between the two!).

            Recovery was very difficult.  I had a delayed transfusion reaction that made me pretty sick with a rash, joint pain, and muscle aches.  I had hypotension, dizziness, and anemia.  I then found out, 3 months later, that I was pregnant again (!), only to miscarry a second time.  I was totally devastated and fell into deep grief and a long season of depression.

            My husband at first did not want to try again for another baby.  I was so upset at the possibility of ending my childbearing years in loss and heartbreak!  I prayed and prayed and pleaded with God to change either my husband’s heart or my heart so that we could be on the same page.  I didn’t want to resent my loving and wonderful husband for not wanting more kids!  After several long months, he realized that I desperately wanted another child more than how much he thought he didn’t want one, and he told me we could start trying!  I was so elated!!!

            Well, one month turned into four, and I had not conceived.  I began to doubt and get angry.  I was bitter and jealous.  What was God doing??  What was his plan for us??  I desperately called out to God!  I prayed for and longed for this child!!!

            When I finally got my big fat positive pregnancy test in July, I was so relieved and excited, but also anxious.  I tried to release all worry and fear and to just enjoy every day I had with this new baby.  By this time, a year had passed since the first miscarriage.

            This new pregnancy was amazing.  I felt great—full of joy and new life!  This was my best pregnancy.  I loved my prenatal care with my fabulous midwife! I felt so loved and adored.  I was so in awe of this new baby inside of me, and I didn’t feel at liberty to complain about anything but to just cherish everything!  I really tried to take extra amazing care of myself through diet and exercise (and in my spiritual life in my relationship with God) so that I could grow a wonderfully perfect little baby!

            At this point in my nursing career, I was also an IBCLC (lactation consultant) and attended deliveries as the newborn nurse.  I was privileged to witness hundreds of births.  I love my job, but it made things a little tricky regarding homebirth.  It is a well known fact that most hospital OB staff don’t approve of homebirth and, quite frankly, think homebirth moms are weird!  Since this was a rainbow baby for me, and I needed to stay as positive as I possibly could, I chose to not publically tell people that I was planning a homebirth.  I really wanted to shield myself from negativity. 


            So… fast forward to 41 weeks, 1 day pregnant!  This was now officially my longest pregnancy.  I felt amazing physically and was loving how round and full of life my body was.  I adored the little baby inside of me.  She has always been so gentle and calm.  Emotionally, however, I was starting to get very anxious about going into labor.  I assumed I would go about a week late, but now, at 8 days post EDC, I still had no “real” signs of labor starting.  (no mucous or bloody show, etc).  I was getting really antsy.  My midwife stopped in for a home visit that night and we had “the talk” about what to do if I didn’t give birth soon.  Standard of care in this area is to have VBAC moms have a repeat cesarean at 41 weeks if labor hasn’t started.  I was already beyond that.  At the hospital where she has privileges, they will not allow chemical induction in a mom with a prior cesarean for fear of rupture.   I had just had a biophysical profile done and got an 8/8, so we knew the baby was doing well.  The midwife told me that the spiritual midwife in her trusted that the baby and I were doing well and that my body knew what it needed to do.  However, she needed to be cautious to not only keep us safe, but to protect homebirth in our community.  I totally understood what she meant and had been fully expecting to have this talk with her, so it didn’t come as any surprise.  She gently let me know that we could say that I refused the repeat cesarean at 41 weeks, but we’d have to schedule it for 42 weeks.  We talked about natural induction techniques (acupuncture, sex, nipple stim, etc.) and both agreed that I had to get this baby out!  I then had her do a gentle stretch and sweep. 




            The next day, March 29 (Good Friday), I woke up feeling pretty disappointed.  I prayed a lot and spent time in scripture.  I sent emails to my mom, MIL, and sisters so they could pray for labor.  The very thought of going from a home water birth to scheduled cesarean just blew my mind!

            I called my friend Jodie who is a chiropractor and she invited me over to get adjusted.  She also hit multiple acupressure spots.  It felt great, but I was still upset about the circumstances, so I shut down when I came home and didn’t feel like doing anything.  I slept all afternoon.

I woke up at about 4:30 and sat down on my birth ball.  My husband came and sat in a chair in front of me and put his hands on my belly.  He had a very sympathetic look on his face to let me know that he understood how disappointed I was.  We decided we’d go for a walk with the kids to the playground in a little bit.  I blurted out: “Oh, God, just give me one strong contraction so that I have a little hope!”  Just then… with my husband’s hands still on my belly, I had a rather strong contraction!  He said: “whoa.” It was awesome.  Haha.  4:40pm. 

I waddled to the dining room and sat at the table to read my Bible again while my husband finished making dinner.  4:50, another contraction.  4:59, another contraction.  5:02, another contraction.  5:05 another contraction!  WOW!  I texted my mom and said: “were you planning on going to the Good Friday service tonight?  I’m having contractions.  Maybe you shouldn’t go.”  (she was going to be my babysitter for the kids).  At 5:12, I texted my midwife: “Strongish contractions just went from every 10 min to every 2 min… about 45 seconds long… maybe the beginning of something?  I will keep you updated!”

Things just kept going.  Every 2-3 minutes, I’d get another rush.  I finished eating dinner (wild rice, greens, and tilapia) and told my husband I didn’t think I felt up to going on our walk.  We decided to put in a half hour Easter movie, the Hanna Barbera Bible Adventures cartoon, to watch with the kids.  I couldn’t sit still to watch.  I had to get up and move! 

At 6:07, I texted my birth team and told them: “Tonight might be the night.  Strongish contractions every three minutes for the last hour.”  I was fortunate to have two very close friends that have had homebirths and who I knew would be supportive.  I planned on having my midwife, her assistant, and my friend Meghan and sister in law Annie at the birth.  I hoped that my friends could photograph and play hostess during labor so that my husband could pay full attention to me. 



At 6:53, my husband, Isaac, called my mom and dad to come pick up the kids.  They were only a block away, so they got here at about 7.  I was laying on my bed, listening to my Hypnobabies Easy First Stage when my mom came in to check on me.  I had a very strong contraction while she was there and at that point, there was NO DOUBT that this baby was coming soon!  She told me she loved me and then rounded up the kids to take back to her house.

Things kicked up in intensity.  At 7:07, I texted my midwife, Khristeena: “this is definitely labor.”  She called right away and told me she was wrapping things up with another client and would come by shortly after.  She would send her assistant over right away.  Apparently, my husband also called his sister Annie at that point and told her to come.  A short while later, I realized that nobody had updated Meghan yet, so in between contractions, at 7:54 pm, I texted her: “you can come any time.”

Lou Ann, the amazing midwife assistant, was the first to arrive.  She found me laboring in my little “labor cave” (AKA our tiny master bathroom) and asked if she could do anything for me.  Lou Ann was so awesome!  During the next rush, she moaned with me in a deep, low voice and that was so comforting to me.  She also knew exactly what spot on my back to press for counterpressure.  She asked me where I was feeling the contractions, and I said “all in the front.”  She said: “thank God for that!” and I knew she meant “hurray for no back labor!”  I am so happy that this baby girl was in a perfect position for birth!

Annie and Meghan soon arrived and were very respectful of a quiet, peaceful laboring space.  They made themselves useful but did not interfere at all with my concentration.  I had been a little nervous of how I would feel being “watched,” but, to be honest, I didn’t even think about it during the actual labor, and it was so comforting to know that my friends who love me and care for me were able to witness this amazing experience.  They would occasionally offer words of support and encouragement.  Annie brewed me some iced pregnancy tea for after labor and brought me some delicious cookies.  Meghan brought a balloon and flowers and chocolate truffles and went to town taking pictures to document this awesome experience!  I am so grateful for them.

When Khristeena, the midwife, arrived shortly thereafter, she found me in my “labor cave” moaning and swaying through contractions with my dear husband providing counterpressure on my back.  It really helped to have some light touch and massage on my belly during contractions.  Khristeena provided such gentle touch and breathed with me during the next few rushes.  What a calming presence she has!  I don’t know how she does it, but just her being near me really helps me to relax!

Finally, sometime after 9, the birth tub was ready for me and I eagerly got in.  I had changed into a bikini top and bottom, but quickly decided the bikini bottom was WAY too uncomfortable to wear and I hastily threw them off!  The baby was so low, that anything pressing on my lower belly was horribly uncomfortable… so who cares about modesty in birth anyway, right?  I got in the water and WOW!!!!  It felt so good.  The warmth was incredibly relaxing.  I felt very light and buoyant and could easily move and change positions.  We had rented a La Bassine birth pool; it has an inflatable floor which offered plenty of cushion for my legs and knees.  It was just the right depth for me (I’m 5’6”).  My only complaint was that I wished it was a tiny bit smaller of a pool—I wished I could feel a little cozier and more “grounded” inside. 



I loved the water and really tried to relax all my muscles and visualize opening up.  I had my Hypnobabies tracks playing in the background.  I had my “lightswitch” in the “center” position the whole time.  I mostly tuned out Kerry Tuschoff’s voice, but every now and then I would catch an affirmation or statement on the recording that would remind me to relax, keep my pelvic floor muscles loose and open, that I was safe, and that I would soon meet my baby! 




I kept trying to visualize my “hypnoanesthesia” around my baby.  With most pressure waves, I would say to myself: “Peace, peace, peace.  More and more hypnoanesthesia surrounding my baby with every breath I exhale.  With each powerful pressure wave, I become twice as relaxed and comfortable.  Each pressure wave dilates me twice as open as before.  Open, Open, Open.”  I found that when I said this out loud, it kept my jaw from tensing up which helped to keep the rest of me loose, too.  I couldn’t yell if I was whispering.  I have to admit, though, that it was really hard for me to continue using my hypnosis during this labor.  This was my second Hypnobabies birth, and I feel like this time it was much harder to stay relaxed. 



I had to pee really bad, and I tried to just go in the pool, but my body had a hard time with that!  So, I got out of the pool to the toilet and had a few contractions there.  Getting out of the pool was so awful.  I felt ten times heavier.  I was SUPER surprised to find myself involuntarily pushing at the end of contractions when I was on the toilet.  Things were moving so quickly (yet not quickly enough!).  I thought to myself: “it won’t be long now!”  Khristeena asked me if I wanted to check myself to see if I still had cervix left.  I felt inside and was horribly disappointed to feel that I still had a lot of dilation to go.



 I asked Khristeena to check me, too, and so I laid back on the bed (which was incredibly painful during contractions) and she checked me.  I was only 6 cm, 80%, -1.  This was 10:20pm.  I have no idea why I felt so pushy already.  With my older daughter, I had a cervical lip for an hour and didn’t feel at all pushy until I was fully 10 cm.  After the birth, Khristeena told me that she didn’t like that I was pushing so early, because it could have put additional pressure on my old cesarean scar.  The baby must have just been in a position that caused me to have pushy sensations. 

Khristeena asked me what I was thinking after she told me I was 6cm dilated and I said: “Just that I still have a lot of work to do.”  “No, Sigrid, you are doing so well!”   I tried to remember all those multips at the hospital that go from 5 or 6 cms to fully super quickly and just kept visualizing opening up.  I knew that once the cervix gets about halfway, dilation can be a lot faster after that.  I hoped that would be the case for me!  I really tried to not be discouraged. 

I also tried so hard to breathe through the contractions and not push.  Some contractions, I’d be fine, and not have to push at all, and others were impossible to not push a little bit.  Khristeena wanted me to stay out of the pool and walk around the house for a little bit, probably to speed things up so I didn’t push on an undilated cervix!  It felt so awful to be out of the pool.  I walked around for a bit, stopping every few minutes to grab on to Isaac to cope through a wave.  Swaying, moaning, “awwwwing” in a low guttural voice.  I was almost embarrassed with how loud I was being.  I remembered being a very quiet birther during my first VBAC.  I thought a few times that I was failing with my hypnosis and really tried to regain deep relaxation.  It really was amazing how much concentration it took to stay relaxed!





I eventually found myself in the main bathroom of the house on the toilet again.  Isaac sat in front of me.  His presence was very soothing.  I was beginning to feel very overwhelmed.  Khristeena found us in the bathroom and said that sometimes it is good to rest, but I should really keep moving.  She began listening to fetal heart tones more frequently.   She encouraged me to eat a little something, so I had half a banana and drank some emergen-c. 

I made my way back through the living room to the kitchen and had a very strong and intense contraction and “OHHHH”ed really loudly through it.  “What was that sensation you just had?” Khristeena asked.  “I don’t know!” I exclaimed.  Then, I felt something hanging in between my legs. “There’s something in my vagina.” 

“It’s your mucous plug!” Khristeena said as she wiped it away.  I had been looking for that plug every day for weeks before labor and I didn’t have a hint of mucous.  Here it was, very far into labor, and the whole dang thing comes out at once!

“Can I get back into the birth pool now?” I asked.  Apparently, it had gotten too cold, as the cover didn’t fit on the pool when it was filled with water (the water pushed the sides out and it was already a pretty snug fit to begin with).  So, I had to wait a bit before warm water could be added again.  I found my way back to my labor cave (master bath) and hung onto the door post for dear life during the next few rushes.  “I can’t… I just can’t” I started to say.  I REALLY hoped I was entering transition, because I couldn’t imagine laboring like this for much longer.

Finally, the water was ready.  I think it was about 11pm, but I don’t know for sure, because I was intentionally trying to not stare at the clock!  Hypnobabies affirms that “every 20 minutes will feel like only 5 minutes” and I just kept holding on to that!  I had lost all track of time.  I got in the water and the warmth felt great at first, but I was soon too warm.  Cold washcloths were quickly procured by my birth team and placed on my forehead and neck.  I got very nauseous and a basin was placed in front of me.  Thankfully, I didn’t vomit, but I dry-heaved several dozen times!


Sure enough, my contractions started to space out again.  I was grateful for the rest time in between.  I tried not to think about how much longer this would take.  Little did I know that I was almost done!
Maybe 11:05pm, my curiosity got the best of me and I checked my cervix… I’m not the most experienced cervix-checker, but my best guess would be about 8cms.  I said “I still have quite a bit of cervix, but I can’t stop pushing!”  The baby’s head was bulging right behind the cervix.  A few strong contractions later and I checked again—just a tiny lip!!!  The next contraction came powerfully and I checked again and all I could feel was her head!!  That was the most amazing and empowering thing about this birth—to feel my cervix melt away like that at the end.  It really helped me to visualize what was happening and I think it helped me to open up so quickly!

“Oh, she’s going to come!” I said and Khristeena told me I was doing beautifully.  “Soften your eyebrows, soften your jaw,” she said quietly.

So… then I REALLY got the urge to push and I did.  “Lots of gentle blowing and breathing right now,” Khristeena reminded me.  Not much happened.  I realized that the baby was behind my pubic bone and Khristeena told me “maybe you should think about changing positions.”  I had been sitting upright and leaning against the back of the tub and I changed to leaning forward in a kind of hands and knees position, but more upright, with my arms straight in between my splayed knees.  I pushed again and felt the baby come waaaay down.  I felt inside and felt her head almost crowning, but as soon as I touched her, she flew back inside about two inches!  I bet the intact membranes sling-shotted her up. That was the craziest feeling!


 I had a few minutes rest in between rushes and Khristeena listened for heart tones.  I pushed again with the next contraction and she came right back down and I felt a pop. “My water just broke.”  I pushed again a few times during that surge and I yelled “Oh my GOSH!” at the top of my lungs as the baby moved down.  I felt the “ring of fire” very briefly.  It wasn’t nearly as bad in the water as it was during my first vaginal birth (still horribly uncomfortable, though! Haha).  I said “Oh, she’s crowning!” and then “video camera!” (haha) and I was assured that it was already on.  :)



“I’m stretching! Oh, she’s right there.”

With the next contraction, I made a ton of moaning/grunting/yelling/primal noises and pushed her out to her ears.  “Oh her HEAD’S OUT!” I yelled.  I took some deep breaths and tried to relax, telling myself the worst part was over.

I was wrong, haha.  The shoulders were the hardest part!  After a minute, with the next contraction, I pushed and said “Ow! Come on!” and felt her shoulders pop out and then it seemed like she was the longest baby in the history of the planet because I just kept feeling more and more baby coming out!  She was born at 11:27pm—only an hour since I was 6cms, and only 9 minutes since I was fully dilated!

“Ohhhh… Oh, where is she?” I flipped around to a sitting position from hands and knees and looked around for my baby.  It was dark and the water got “inky” as she was born from a gush of blood (from my tear) and I couldn’t see her right away!  I felt around and was ELATED to grab hold of my baby and bring her up on my abdomen.  I unwrapped a nuchal cord and brought her up closer to my chest.  She coughed a few times and just looked right up at me with her wide blue eyes.







“Oh, hi honey, good girl!”  She was so calm and peaceful, looking around the room, coughing every now and then.  My friends started a round of applause for her.  I thought I would recognize her in a way, but she looked so different than I imagined.  She was beautiful—strawberry blonde hair and bright blue eyes!  I just fell right in love.  After about a minute, she let out her first lusty cry—the most beautiful sound!  Everyone “ooh”ed and “ahh”ed over her.  I was so relieved to be holding her safely in my arms!!!





“I love you.  What a good girl!  Look how small you are!”  I was so shocked at her “petiteness.”  My first two children were both 9.5 pounds, and this little one was obviously much smaller than that!
“I just had a baby!  Oh my gosh, you are so cute!  Praise the LORD!  Look what Jesus made in my tummy!  You are such a miracle!”



The baby started coughing and bringing up some bubbles from her belly, and we just gently wiped them away.  “So gentle.  If we were in the hospital, I’d be messing with you!”  This is one of the main reasons why I chose homebirth.  As a newborn nurse, I know how annoying all the newborn procedures are for babies.  I love that my baby was born so peacefully and was able to transition smoothly without interference. 



We draped a blanket over her and then I offered my breast to her.  She took it almost immediately and began nursing.  Isaac and Khristeena began to drain some of the water out of the tub as our baby—Shiloh Lark—and I snuggled and nursed. 

After about 12 minutes, Khristeena asked if my cord was still pulsing.  I felt and it was.  Three minutes after that, I started to get very crampy and I had a gush of blood from the placenta separating.  “Can I deliver the placenta in the water?” I asked.  I seem to remember that it just kind of slid out after my last birth, but this time, it took a little more effort.  I pushed a few times, and felt very relieved when it was out.  Apparently, I had a “Duncan” presentation, where the maternal “sticky” side presents first.  Khristeena put the placenta in a glass bowl and set it floating on the water next to us.  It was so neat to see my baby’s home from the last 9 months.  I am just so in awe of God’s design!  It is truly miraculous. 



Annie brought me a chocolate chip cookie and the most delicious iced tea ever.  What a nice reward! 
Isaac clamped and cut the cord 51 minutes after birth.

After a nice, relaxing snuggle in the tub, it was time to get out and into the bed.  The baby went straight from my arms to her daddy’s arms as I was getting resettled.  What a lucky baby to have had such a gentle entrance into the world!  Her head was perfect—no bruising or swelling or molding whatsoever!
Khristeena checked me and told me I had only a small tear on the posterior wall of my vagina, which I decided to leave alone and not have stitched.  My perineum was completely intact, which blows my mind, considering how fast I pushed her out at the end.

The next few hours were passed blissfully snuggled in bed with the softest, fuzziest little baby who nursed like a pro and relaxed peacefully next to her mama and papa.  Her name, Shiloh, means “peace” or “tranquil” in Hebrew, and that suits her very well!  Shiloh, the Biblical city, was the center of Israelite worship before the temple was built in Jerusalem, and my Shiloh is definitely a reason to praise God!  Lark, her middle name, is because the songbird symbolizes springtime, joy, cheerfulness, and the coming of a new day in literature.  It seemed like a fitting name for my sweet rainbow baby!



After a few hours, it was time for the newborn exam!  My “small” baby girl was 8 lb 12 oz, and 20.5.”  She looked like a 40 week baby, with lots of vernix on her skin.  She didn’t look overdue at all.  She just needed an extra week to ripen.  :)



After I got up and used the bathroom a few times, ate a sandwich, and it was obvious that both baby and mom were doing well, my amazing birth team packed up and headed home.  It was about 2:30am.  I was WAY too excited to go to bed, so we looked through birth photos and watched our birth video right away.  Isaac laughed at me at one point for the horrible grimace on my face as I watched myself giving birth on the video!  What a surreal experience to actually watch your own body working so powerfully to bring a baby earthside!

It was honestly the most perfect birth that I could have imagined.  Powerful, strong, efficient, complication-free.  Totally physiologic.  Mama-led and empowering!  What a blessing!  Less than 7 hours total from first contraction to birth, and only about 3.5 hours of active/hard labor.

I am so happy to have met such a fantastic midwife and to have had such supportive friends.  This was the TOTAL OPPOSITE of my cesarean birth in so many ways.  Instead of feeling stripped of power, I was given total autonomy.  I was loved, cared for, and respected.  Who can ask for more?

Praise God for his hand of blessing, protection, and peace on this birth.  Words can’t even describe how happy I am with how lovely this birth turned out to be!  I am so incredibly overjoyed to have had this awesome experience.  While I don’t feel the need to ever go through it again (LOL), I will always look back with overwhelming happiness at my home water VBAC! 

Tuesday, August 16, 2011

Miscarriage Part 4

I later found out from a friend at my hospital that here, in NYS, a
miscarried baby before 20 weeks is considered "nothing" to the state
due to abortion laws. I, as the mother, can do whatever I want with
my baby's body.... the hospital had NO RIGHT to the baby, and all the
hoops they made me jump through to take him home were unnecessary.
GRR...

At this time, the doctors all came back in and said they were ready
for me, for surgery. Khristeena-- bless her heart!-- said she would
stay with Isaac until I was awake. I really don't know what I would
have done without her. She blessed us with her kindness more than she
could ever know.

They wheeled me into the hallway. I remember thinking that I must look
just terrible... pale, sweaty, in a bloody tank top... I tried to not
make eye contact with anyone in the hallway. When we got to the
elevator, some paramedics were bringing someone in on a stretcher.
"No... you guys go first," they said. "This looks important, and we
can wait." Oh... I look that bad, huh?

They took me up in the elevator. I asked someone to hold onto my
glasses for me. I explained that I really can't see very well without
them, and waking up from surgery will be hard enough without being
able to see. They told me "well, there's not going to be much to
see... but ok."

A sweet woman came up to me and said she'll be my anesthesiologist.
She asked if I had any false teeth, dentures, etc. and then asked to
see my teeth. "Oh, perfect mouth!" she said. I thought, "well, at
least something about me is nice right now!"

Darlene, my circulating nurse, introduced herself to me. "I'll be with
you the whole time. I'm not going to leave."

"Thank you for taking care of me," I said.

They made me take off my wedding ring and engagement ring in case they
had to give me more fluids and my fingers swelled. I was very sad
taking them off. It almost felt like I was saying goodbye to Isaac. I
tried to just tell myself that I was being overly sensitive and
dramatic, but I think he was thinking the same things. He leaned in
and gave me the most sensitive and sweet kiss we've ever shared. "I
love you so much, Sigrid."

They wheeled me into the OR. I saw animal murals on the ceiling...
this was a Children's hospital after all. "Oh... this is a happy OR,"
I mumbled to myself.

Then, Dr. Hunter (the male OB resident that was rough with me) came
into the room. He was the one to assist with my surgery?? Oh man... I
was really not happy about that. I knew I had to try to make amends
with him for telling him off earlier-- before I was unconscious!

"Is Dr. Hunter here? Dr. Hunter, I want to apologize for yelling at
you and screaming during your pelvic. It wasn't you..."

The nurses all began to snicker. I think I embarrassed him. Oops! "It
was just the dilaudid making her loopy," I heard him whisper to the
nurses.

They had me scoot over from the gurney to the OR table and put my feet
in the stirrups.

Next thing I knew, I'm breathing some "Oxygen" through a mask and all
of a sudden got very sleepy.

I guess the surgery itself only lasted about half hour, because Isaac
said Dr. Baliya came in shortly afterward and said I was all done and
"did great." He explained that there had been a lot of clots still
inside, and I had a very irregular and thick uterine lining that they
had to remove. The surgery had been absolutely necessary, otherwise I
would have just kept on bleeding. I was gone from Isaac and Khristeena
for a total of two hours (from about 9:45 pm until 11:45 pm), so I
must have been unconscious in recovery for a while.

When I woke up, I remember seeing a dinosaur with a spiky tail painted
on the ceiling. I was so confused. Where was I again? And then... oh
the pain! My right hand shot up to the right side of my mouth. Did
they punch me in the face? Why does my mouth hurt so bad?? My head
started flopping back and forth from the left to the right. I felt
like I had no control over my head.

"Why does my mouth hurt so bad? Can you support my head? I can't
control it. Please help me. My throat feels like it was burned with
plastic."

"You sound just like one of my little kids... that's what the children
all say," my nurse said.

She seemed like she was in a terrible hurry, but she did help fluff up
my pillow so that my head stopped flopping around. Someone handed me
my glasses. They had been right... there really wasn't much to see and
I just closed my eyes anyway.

"What is wrong with my mouth? I have a fat lip!"

"That's just from how she taped the breathing tube... your lip is fine."

For the next four days, the inside of my right upper lip felt
completely raw. I had terrible mouth sores. My teeth hurt, like I had
gotten punched or had fallen face first on the ground. My throat
burned so bad from being intubated. The plastic smell and sensation of
burning was painful. In the following days, I could tell that my vocal
chords had been badly irritated, because it hurt after too much
talking and forget about yelling or singing.

As I lay there in recovery (I was the only one there on a Sunday
night... and the nurses all made it a point to tell me that they had
been called in from home for my surgery. Sorry that it was so
inconvenient to you that I was dying!), I overheard Dr. Hunter
dictating about the surgery. "26 year old Gravida 3 Para 2 presents to
ER for hemorrhage after missed miscarriage..." "emergency D&C..."
"Dilated the cervix to 9 cm..."

Wow. I was dilated to 9? That's a lot. I think maybe he meant 9mm...
but I swore I heard cm.

I got wheeled up to room 515. As soon as they positioned my bed, I saw
a poster of a mom holding a baby, and a handwritten note on the
whiteboard saying "forms to complete before discharge: Shaken Baby
Video." This was their postpartum overflow floor. I immediately asked
Isaac to erase the note off the whiteboard and turn the poster around.
"Isaac... this is the first time I'll leave a hospital as a patient
without a baby in my arms."

When the nurse, Cindy, came to introduce herself, I begged her to not
let me feel any pain. "After my c-section, they didn't tell me that I
had to ask for pain meds and everything wore off. It hurt so bad...
please don't let that happen."

"Oh, dear, you shouldn't have any pain. Probably just more cramping.
There's no incision, it's not that kind of surgery. You should be
feeling better soon. Tell me if you do have pain, and I'll help."

I asked her why I felt I had to pee again so badly. She told me that
they always give lasix (a diuretic) to transfusion patients so that
they didn't go into fluid overload. I told her that my bladder was
painful because it was so full.

"Well, let's get you up to the bathroom!" she said.

Was she crazy? I couldn't stand up! I was still lightheaded and dizzy,
and very very weak. "I can't," I said.

"Are you sure?"

"Yes... unless you want me to pass out!"

"Oh, well, maybe next time."

She gave me a bed pan. Then, she stayed for a few minutes in our room.
The first 15 minutes that a bag of blood is hung for a transfusion,
the nurse must be in the room in case of a transfusion reaction. [I,
unfortunately, did have a delayed transfusion reaction 3 weeks later.
I didn't know that this was even possible! I had a terrible immune
response to the blood products that caused a hot, itchy rash, muscle
aches, and joint pain. But... that's a story for another day!]

Before she left, 15 minutes later, I told her I had to pee again.
"Seriously?" she asked.

"Yes!"

This was going to be a long night. The stupid lasix had me up and
peeing every 20-30 minutes (on a bed pan!). The IV kept beeping
anytime I would bend my arms. Cindy had to come in to change the blood
bags every couple hours. I didn't get any sleep.

During that second bag of blood, I experienced something very strange.
I described it to Isaac as "waves of silence." Every few seconds, a
sound like an ocean wave would crescendo in my ears, and then die down
to absolute silence. The ocean roar was deafening, but it was followed
with absolute nothingness. It was very disturbing. I didn't know what
it was, but it was frightening. I had just been given my second
methergine shot, as well (another bee sting!), and that made me very
anxious with a pounding heart and heavy breathing. I began to think
about all the things that had happened to me in the past two days, and
I became very sad. ('Sad' seems like such an inappropriate word, but
it really does describe my emotion the best).

I was finally alone in my room... it was dark, the nurse was gone, and
Isaac was sleeping on the pull out chair. I began to pray. I needed
strength!!! I was overwhelmed with grief and started to pity myself. I
had kept all emotion walled up during the craziness of the day, and it
was all hitting me now, like a ton of bricks. "Jesus, please help me.
I need you!"

All of a sudden, I felt His presence in the room. It was so real to
me. I imagined Jesus behind me in my bed and he was wrapping his arms
around me. I was filled with peace. It was indescribable. I knew
people had been praying for me, and Jesus was answering their prayers.
It was so weird... I really felt like I was in this place in between
life and death. I've never felt anything like it before.

My faith has definitely been strengthened in all of this.

This is my facebook status update from Saturday night:
Grieving the loss of our little baby... I am having a miscarriage.
Please pray for God to quickly heal my body and my heart. Praise the
Lord for his faithfulness in all circumstances!!!"

54 comments of love from my friends following:
Leanna: Oh Sigrid! I will pray God to be right by your side. Love you!
Bethany: oh Sigrid I am so sorry. Praying that God wraps you in the
comfort of his arms.
Peter: We are so sorry for you and Isaac. Remember God is Sovereign.
Hang on to Him"
David: Sigrid, I pray you and Isaac experience God's love and
presence, and his peace. So sorry for your loss.
Cara: So sorry! Praying right now that the Lord will wrap His loving
arms around you all right now and comfort you.
Andrea: Dear Sigrid, I am so very very sorry to hear your news. My
thoughts and prayers are with you. God is close to the brokenhearted.
Hold on to that. My heart is heavy with you. Praying.

Little did they know just how real God's presence would be that weekend!

Sunday night, in room 515, after my surgery and during my
transfusions, I used my iPod touch (I am SO glad I had that with me!)
to read all these encouraging notes and prayers. I updated my facebook
status:

Thanks for all the prayers. I definitely feel supernatural peace. God
is good. Please pray for my physical recovery now... I am in the
hospital, got 4 units of blood, a unit of plasma, tons of fluids, and
had to have surgery. I feel very weak. But when I am weak, I am
strong!!!! I will therefore delight in my weakness.

Chrissy: So powerful to read those words, Sigrid. Praise His name for
the peace that passes understanding and strength He provides in the
most difficult of situations. ♥ you!
Candi: Sigrid-you are one of the most amazing people I am blessed to
know. You have this Godly, strong faith that is such a testament to
Christ and his sacrifice! I am praying for you, Issac, and the kids.
Let me know if you need anything. I would like to make you dinner, if
you need it. Let me know if I can bring something over!
Diana: Praise the Lord for how you are giving glory to HIM even in
your pain and sorrow. This trial is gold for you, Sigrid!

Going through my text messages on my phone also made me smile.
While I was in surgery, Leah texted: "Go Holy Spirit - charles just
prayed such profound words regarding your guys' faith and for your
whole family."

It was a long night, full of lots of tears, and lots of prayers.
Eventually, I think I just accepted the fact that I would not be
having another baby, but that I had two beautiful and perfect children
waiting for me at home.

In the morning, I decided I was WAY past due for a shower, and finally
felt strong enough to stand. I was still wearing my bloody tanktop and
my legs had never fully been cleaned of all the bleeding. At
Children's hospital, there are two public showers on each floor. I
gathered the little bottle of shampoo and the meager (thin and tiny)
towels and washcloths they gave me as well as the change of clothes
Isaac grabbed as he headed out the door for the ambulance on Sunday. I
hobbled down the hall to the shower, hung my things on the little
hooks in the stall, and decided to keep the hospital socks on as I
showered (who knew what lurked on the hospital floor). I undressed and
turned the water on. It felt so warm and so relaxing. I hadn't
realized just how sore my muscles were. As the steam filled the little
shower room, I just started to cry. I had been through so much in the
past two days. It was totally overwhelming. I looked own at my
abdomen. It was totally flat, where just the day before, I had the
beginnings of a cute little baby bump. I was so excited those last few
weeks of pregnancy because I had finally started "to show." All of my
colleagues at work had started to notice that I was expecting. I was
so looking forward to feeling my little baby kick, swish, and roll
within me. I was excited about being the "cute pregnant girl" again. I
always felt so much more beautiful when pregnant. And now... that baby
bump was totally gone.

It already looked as though I had never been pregnant at all.

I had gone through nearly 3 months of nausea and fatigue in the first
trimester of pregnancy. I remember thinking, as I was living through
it, that it was A LOT of work to grow a baby! Then I had labored and
birthed, bled, and almost died. And now I had *nothing* to show for it
all. It was as if that whole chapter of my life-- joyously
anticipating the birth of our third child-- had been violently ripped
out of my life story.

I took my washcloth and gingerly tried to wash the tape residue left
over my IVs from my arms, but the bruises were too tender. The tape
residue remained on my arms for a whole week-- another lingering
reminder of my "trials."

I got out of the shower, pulled myself together emotionally, and got
dressed. It felt so good to be in new clothes! I felt so much better
to be clean and dressed.

When I got back to the room, true to her promise, Sister Brenda came
to visit. She brought us a sweet surprise-- our little baby. He was
untouched, in his little bag. She had tenderly wrapped his bag in a
soft white blanket with little ties on the side. This kind of blanket
was designed for cradling little babies that leave the world before
their time. It was so so so sad to see that MY little baby was inside.
She gave us some paperwork about miscarriage from their bereavement
program and gave us two little golden rings as mementos to help
remember our baby. I plan to make a necklace with mine, and Isaac will
carry his in his wallet. That way, we will always have a reminder of
our sweet little angel.

When Brenda left, I just cradled that soft little blanket in my lap.
It was so nice to have something to hold in my previously empty arms.
I kissed the bundle and snuggled it close. I read Psalm 139 to my
little baby and told him how much I missed him. He taught me so much
in his brief life.

I knew we needed to name our baby. He was too little to know for sure
what gender he was, but Isaac and I both felt in our hearts that he
was our son. I told Isaac that his name had to reflect how God had
strengthened our faith. I looked down at the Bible in my lap for
inspiration. We had just read about how King David had lost his baby
boy that he had with Bathsheba. The passage was from 2 Samuel. "How
about Samuel David?" I asked. Samuel was a little boy dedicated to the
Lord and loved deeply by his mother Hannah. David was a man after
God's own heart, who knew the pain of losing a son and who
demonstrated great faith. It seemed fitting.

It was nice to have a name for our baby. I spent the rest of the
morning cradling Samuel in his little bundle and just thinking about
all the sweet plans we had for his life. Isaac and I were very sad and
solemn that morning. At one point, Isaac kissed me and told me so
sincerely that he loved me very much and he was glad I was still with
him here on earth. He had the most beautiful smile. I have always
loved Isaac's smile lines-- the little crinkly wrinkles by his eyes
and the deep dimple-lines around his mouth when he grins. With the sun
streaming in through the window, his colors- his skin, his eyes, his
hair- were all radiant. He was just incredibly handsome to me in that
moment and my heart swelled with pride that I was his wife. I realized
that he loved me so much and was showing it in the best way he knew
how-- by just listening to me grieve while holding my hand and telling
me how proud he was of me.

I then realized that Judah had Vacation Bible School that morning. We
called my mom to ask her to drop him off. Isaac then called the church
to tell them that Judah's grandmother would be dropping him off,
because his parents were in the hospital. They asked if we would like
if someone from the church came to visit us. I told them that I would
like that very much!

In the course of the morning, two of the men from Kenmore Alliance
came to see us. We were so blessed... we had only been going to
Kenmore Alliance Church (KAC) for about 6 weeks. The first visitor-
Gerry- was so sweet and so kind. He said his wife had had a
miscarriage many years ago and we could tell that he felt very
sympathetic to our pain. He got choked up emotionally when he prayed
for us, and I could tell that he was still affected 20 years later by
his loss. He prayed for us and I felt so encouraged.

After Gerry left, another man, Dave, came to see us. He told us that
his first baby had been born still. He was also deeply connected to
our grief. He shared a passage of scripture that resonated strongly
with me. 2 Corinthians 1: 3 "Praise be to the God and Father of our
Lord Jesus Christ, the Father of compassion and the God of all
comfort, 4 who comforts us in all our troubles, so that we can comfort
those in any trouble with the comfort we ourselves receive from God."

This had been the basis for my nursing philosophy that we had to write
in nursing school. God was telling me yet again that the experiences
that he was allowing me to live through, as difficult as they were,
were only going to refine me and shape me. I would be able to take the
comfort God was giving me and share it with those that will need
comfort in the future.

After Dave left, my mom came to pick us up from the hospital. Isaac
had ridden in the ambulance with me, so we didn't have a car to drive
home. She was watching the children, so of course, she brought them
with her. When they first popped into that hospital room, I was
SHOCKED at how beautiful Galilee was! I didn't remember her being so
gorgeous! Those big blue eyes just sparkled and her her sandy blonde
hair shined in the sunlight from the window. She smiled a big toothy
grin, waved her little hand at me, and said "hi!" My heart just
melted. I felt so privileged in that moment to be her mom. I will
never ever ever again take my babies for granted. They are such
miracles. Just Beautiful!!!

Judah climbed right up into my bed and started playing with the
buttons to raise and lower it. He remembered the hospital from when
Galilee was born. He was so excited... he had just finished his first
day at Vacation Bible School. He showed me his craft that he had made
and his picture he had colored.

He took a good look at me and smiled. His last memory of me had been
of me moaning and yelling as I was laboring to birth Samuel, and then
of the paramedics taking me away on a stretcher. He seemed relieved to
see me sitting up in bed, smiling at him. "Mommy! You all better
now!!!" He exclaimed. "You come home with Judah?"

"Yes, honey, I'm coming home... and I am much better. But Mommy is
still sick and weak and I'm not all better yet."

"Oh," he said as he pondered what I had said. He thought for a minute
and then said "our baby stopped growing in mommy's tummy." He looked
thoughtful. "Maybe there will be a new baby in your tummy, Mommy!"

"Oh, sweetie... I don't know about that! But I am so glad that I
already have two beautiful babies!"

"Judah and Galilee!" he said cheerfully. Oh my, I love my little cuties so much!

Miscarriage Part 3

After a while, the nurse who had told me to clean myself came in and told me "I have to take the fetus."

"WHAT?"

"I was told you brought the fetus here, and I have to take it to pathology."

"NO! You are not allowed to take my baby!" I screamed at her.

"I have to... it's the rules."

"I won't let you! He's not yours, he's mine! I had him, and he's my baby!"

The nurse seemed very unsympathetic and actually appeared annoyed that I wouldn't let her take him. What is wrong with this picture? I just had a *traumatic* miscarriage. Everything was still so fresh. Where was the compassion??

"Well, rules are rules. I'll have to call the chaplain in... you can talk with her. She was the one who told me to take the baby." And then she walked out.

At this point, I was shaking. "Isaac- hide the baby! Put him in my purse! They can't take him if they don't know where he is!"

A little while later, Sister Brenda, from Pastoral Care, came in the room. I knew she was there to take my baby away, so I immediately felt like I couldn't trust her.

She came to the side of my bed and whispered, "I'm so sorry this happened to you..."

"Can you pray for me?" I asked her.

"Of course... Lord Jesus... please bring comfort and healing to Sigrid in a special way..." Her prayer was beautiful and heartfelt. I still just could not bring myself to trust her.

She began to explain the situation. "I talked to our legal department and to pathology. We're going to need to see the baby for testing... and then I'll take him to the undertaker. And then we'll give him back."

"How much will that cost?"

"I know an undertaker who will do this for you for free. But... your baby will have to be cremated."

My heart started screaming inside of me. I got very upset. "NO! You CAN'T burn my baby! I gave birth to him whole and perfect. He's mine! I don't understand! Why do you think you can take him away from me?? He was never yours! He's ours!" I began shaking and hyperventilating.

"Sigrid, breathe! In and out. Just breathe. Breathe." Khristeena was very serious. I knew she meant business. I was getting so worked up. It wasn't good for me.

"I'll make some more calls and see what I can do," Sister Brenda said. She knew there was no reasoning with me at that time. Apparently, my reaction caused quite a stir on the floor. We began to hear a lot of mumblings between doctors and nurses that I wouldn't let them have "the fetus." When the doctor came in later that night, I heard him whisper to the chaplain: "did you take care of that issue yet?"

What a terrible night this was. The emotional weight of everything was just crushing. I began to think about Judah and Galilee. It was bad enough that I lost one baby... what if my other babies lost their mom? I really thought I could die.

The residents came back. I had started bleeding again. They wanted to "evacuate" my cervix of clots. I begged for them to let Khristeena do it. "Honey, they won't let me" she whispered to me. She held my right hand while Isaac held my left. It was torture. I definitely began screaming again.

"I just can't believe how anterior your cervix is!" Dr. Shields kept exclaiming. "I honestly can't believe that you had a vaginal birth with the way your uterus is tilted! And you're so small, too! How did you have such a huge baby??" Ok... first, you insult my body... then you insult my baby... not cool.

"Isn't it great that birth works?" Khristeena said to try to quiet the resident from making these ridiculous and insensitive 'observations.' Oh man, she is my midwife-role model!

The OB attending physician, Dr. Baliya, came in and told me that we were just waiting for the ultrasound tech to get here (wow, that sounds familiar! Deja vu!) to do a sonogram to determine how much tissue was still inside of my uterus before they could decide if I would need surgery or not. If there was still tissue inside, my body would just continue bleeding to try and flush out all those clots unless they went in surgically to remove them with a D&C. I desperately did not want surgery!

Khristeena kept telling me to imagine my uterus closing up. I tried so hard. I visualized myself just turning off a faucet. I felt a lot of cramping and was hoping that the pitocin was working to close off all those blood vessels... but it wasn't. I was still bleeding very heavily.

At that point, Dr. Shields, the female resident, came in and said I had to have Methergine. It's a drug that will also help to contract my uterus down. Apparently, at this stage of pregnancy, I didn't have enough oxytocin receptors in my uterus for the pitocin to work effectively.

A nurse came in and gave me the methergine shot in my arm. It felt like a bee sting. Shortly after, I got very lightheaded and my heart started pounding. I felt very anxious. Apparently these are all side effects.

The nurse then came in and drew a vial of blood from my IV. "Are you drawing another CBC?" I asked.

"Type and Screen" she answered.

"Oh." I knew that meant I was getting a transfusion. Wow.

At that point, the ER doc came in and told me that my Hemoglobin count went from 12 to 8 in about an hour and that I was going to get four units of blood and a unit of fresh frozen plasma. WHAT? Seriously? That's a lot of blood!

The nurse came in and hooked up the first bag of blood. The IV in my right arm began throbbing. It hurt so bad. I told her it didn't feel right. I think the IV had infiltrated, because I now have a large bruise at the site. She unhooked it and reattached it to the IV in my left arm. Much better.

After about half hour, the ER doc came in with the transfusion consent form. "Sorry... I signed off for you as emergency consent because you were so critical." I was? Really? Wow...

I tried to pick up the pen and sign my name for consent, but my hands were so weak and shaky. I remember thinking "I hope this is ok, because that doesn't look like my signature!"

Finally... at about 9:00... 5 hours after we left our house by ambulance... the Ultrasound tech finally got there! It was the same sweet woman that I had the day before. She was so nice... but why the heck did she make me wait HOURS two days in a row? She recognized me: "Oh, it's you again! Honey, I'm so sorry..."

She did the sonogram at the bedside and it was determined that I did, indeed, need surgery and then I'd be admitted overnight for observation. They just needed to wait until I got my first unit of blood and they had to call in all their on-call surgery people in from home. Note: if you are going to hemorrhage, don't do it on a weekend! Dr. Baliya explained that they would use a special tool to dilate my cervix and then use a suction curette to scrape out the lining of my uterus and any remaining "products of conception." I kept asking questions about how they were going to dilate me, since I knew that was the riskiest part. "Oh yes, it's risky. I could puncture the uterus! But, of course, that's not going to happen to you! Don't worry. And, I just want to tell you, that this didn't happen because of anything you did. It is not you or your husband's fault. Usually these things happen because there was a mistake with the baby."

I just nodded my head. I refuse to believe there was anything wrong with our baby. He was perfect. The doctor was only trying to comfort me. He failed miserably in the comfort, but I knew he only meant well.

This day was just getting worse and worse.

"Well... God is just giving me more opportunities to grow! I'm going to be an amazing midwife after all of this!" I joked.

I asked the ultrasound tech if our ultrasound was still on her computer upstairs and if it was possible to get a picture printed of our baby. "I'll try my best" she said. She came through for us, and I now have a sonogram picture of my sweet little baby. I'm so so so happy that I have this.

Sister Brenda came back. She found some turkey sandwiches and juice for Isaac to eat and drink. I was so grateful that she found something for him! I had been worried that he would be starving because he hadn't eaten since before noon. I had been asking all day for someone to bring something for him to drink. She also brought me a fan from her office. I had been complaining earlier because there was no air conditioning in my room and I was very flushed and sweating. That little fan felt so good!

She told me that she made some phone calls about the baby... he did indeed have to go to pathology. I made a face and started to cry. She said: "wait, wait! Listen to what I have to say! They said that they won't touch the baby... they'll just look at him through the bag to make sure that he's all there... then they'll release him back to you!"

I was so relieved. I desperately desired to have my baby to say goodbye to. We really felt we needed to properly bury him.

"But... where can I put him? Is there a fridge on the 5th floor?"

"I'll find out... but if not... I'll keep him in the refrigerator in my office."

AH! I was so happy I could kiss her! I started off feeling like I couldn't trust her... and wow, she really came through for me! I know that it is a total miracle that God allowed for the baby to come home- intact- with us.