Monday, May 4, 2015

Reflections on birthing and such

It's been nearly a year since I last posted anything of actual substance on this blog. No, wait, since I posted ANYTHING at all. The last time I've recounted a story or a thought, it was in July of 2014, and I was most likely sitting in my cramped teachers quarters in Owerri, Nigeria, writing to the pulse of the gas generator, as cockroaches scurried at my feet, while I heard the rhythm of Igbo drums pound into the humid night.

Today, I'm in Milwaukee, Wisconsin. Spring has arrived. Overcast skies have brought soft, cool breezes onto Southwestern edge of Lake Michigan. But flowers are slowly blooming and the maples and oaks are just beginning to bud. 

It's pretty unbelievable that Jamie and I have kept this blog for over 7 years. What initially started out as an avenue to communicate with family and friends while we lived in the Czech Republic, has become an ongoing chronicle of our lives together. We've written about our experiences in Erie, about our move to Milwaukee, my time spent at Marquette, our cross-country bike trip, and  about countless, mundane day-to-day observances. It's become an open repository of our memories. 

The blog has served as the forum through which Jamie and I have been able to share our life's adventures and experiences. And while we've been through a lot together, at the beginning of this April, we both entered a completely new realm of reality, as we threw on the cloak of becoming "mom" and "dad." 

Ada as born nearly three weeks premature. Essentially nothing went to plan. And, yeah, while I'm well aware that most birth plans are foiled, it is nevertheless shocking when your well-laid vision and preparation are essentially thrown to the curb, because the labor experience was, well, insane...

Throughout the months of February and March, Jamie and I attended a birthing class. While there, we learned all sorts of breathing techniques and labor positions that are proven to aid in birth and delivery. We would go home, talk about the positions that were most comfortable for Jamie, and then discuss the way in which we would engage those positions while in the hospital. Our goal as a couple was to have a natural birth--well, as natural as one can get in a hospital. We wanted to avoid an epidural at all cost, and were open to the idea of pain relief, but really wanted to avoid medicines as much as possible. 

So when Jamie's water broke at 4:40 am on Monday, April 6th, we packed up our extensive "labor bag" and prepared for a long, laborious delivery in a hospital, with Jamie experiencing the ebb, flow, and ultimate crescendo of pain and pressure that comes with a vaginal delivery. Too bad for us, Ada had other plans. She was breech. Not good. She punctured Jamie's bag of waters. Double not good. And she wanted out of the womb IMMEDIATELY, inducing labor. Triple not good. The midwife at the hospital evaluated Jamie for exactly 10 minutes, said she believed we would have to have a c-section. And then went outside to discuss with her colleagues. All Jamie and I heard from the nurses station were hushed, shocked exclamations of "Ruptured Breech!"...."Ruptured Breech?"...."Ruptured Breech!?"

The doctors evaluated us. Told us we needed a c-section. The news came all at once. Within 20 minutes there was a cavalcade of doctors, nurses, beeping machines, and needles being produced. I felt as if I was in a whirlpool of chaos and was getting sucked farther and farther into the vortex of "immediacy" and emergency that seems to run rampant at hospitals. I wanted to slow the process down, to make sure Jamie was comfortable and able to articulate her wishes. I did so only periodically, when many of them left our room. At 7:00 am we entered our room. At 8:30am, Jamie was led into the cold, white operating room. I was forced to (literally) wear what they call the "bunny suit" and stand in the hallway, left to peer through two panes of glass. I wondered about the pain Jamie would experience when the spinal would be inserted in-between two vertebrae. I knew she was in a panic. I only hoped that the doctors and nurses would attempt to calm her nerves. After all, a c-section is as far away as one can get form a natural birth. 

When I was led into the operating room, I could see in Jamie's eyes that she was enclosed in fear. Luckily, I was given a seat next to hear. I stroked her hand and touched her forehead. It was awkward. I had not imagined that one of the most intimate moments of our relationship--bringing new life into this world--would end up turning into a terrifying ordeal of bio-hazard bags, splatter shields, and doctors' masks. Once Ada was extracted from Jamie's womb, I was told to look over the operating curtain. I did. I couldn't make out whether our newborn was a boy or a girl. Her labia were inflamed due to the hormones of birth. I took a guess. "A girl!?" Thankfully  no one laughed. I had been right. Ada was whisked away to a heat machine, where she was weighed and measured. I asked the nurses to get Ada immediately on Jamie's chest--well, what was exposed of her chest. They did after some prodding.

After witnessing a c-section first-hand, I am amazed at how nonchalant we are in our public discussion about c-sections as a common birthing option. It's major, invasive surgery. I would NEVER recommend this unless it was absolutely necessary to ensure the health and safety of the mother and child. To me, it's as though the conversation around this type of surgery goes like this: "Well, I don't want to go through labor pains, so I'll just get a c-section." That's insane. The recovery time after the operation is easily 6x as long. Jamie is still in pain, as her incision heals. There is a lot of bleeding, you're unable to lift more than 10 lbs, and you can't drive, walk, or...ahem...have sex for quite some time. It's really challenging. And, quite frankly, it's not as safe as we say it is. Studies have shown that women who opt to undergo a c-section birth are 8x more likely to experience medical complications during childbirth and die during birth. 

Now, I'm not some crazy radical anti-medicine zealot, with an idealized vision of "down-home" medicine as it was practiced on the 'ole farmstead. But I do think it's necessary for us to evaluate the rate at which hospitals are opting for c-section births....

Well, enough of that rant. 

Ada was healthy. She couldn't eat though, and had trouble suckling. It's common for young children, especially those born prematurely, to have to learn the act of sucking. Ada got it after about three days of struggle.

And just as she arrived, Ada was discharged one-day early. And that's when the real adventure started. More on that later...

Monday, April 6, 2015

Thoughts on being pregnant: Meet Ada

This morning I woke up because I thought I had peed myself. After finding that there was no urine in my underwater, I felt my heartrate rise. Had my water broken?! Quickly I changed my underwear and waited in the bathroom to see if any more mysterious fluid would appear. Yep, I was pretty sure my water had broken. Jeremy was just as shocked once I told him and we started preparing to go to the hospital.

When we go the the hospital they confirmed that yes my water had indeed broken. By this point it was a pretty steady trickle.  I was also 1cm dialated and I let them know that on Friday baby was breech. I should have known something was up when after the midwife nurse left I kept hearing "ruptured breech" being whispered in the hallway.

By 7am I was taken upstairs, given an IV and my doctor confirmed that yes, baby had not turned and was still breech.  What this ment I was not prepared to hear. Since my water had already broken I would need a c-section, and since I had eaten some breakfast before coming in I would be scheduled for noon. Oh boy. This was not part of my birth plan. I was supposed be having a natural birth. My plan had me avoiding an epidurl, I never imaginged anything beyong that. A c-section ment a spinal, major surgery and intense recovery.

Since I was having steady contractions my doctor checked me again to see if I had dialated any further. I was now at 2cms. My doctor left the room for a few minutes and came back with the nurse anesthesis and told me that since I was progressing they would be doing the c-section within the hour so that I couldnt dialate enough that something could go poorly for the baby. After a whirlwind of information I got prepped and before I knew it, I was numb from the chest down and laying on an operating table. I will not go into detail concerning the procedure, however I will say it was one of the most terrifing things I've ever experienced. Jeremy and my nurse-anesthesistis got me through it and for that I am thankful.

Weirdly Jeremy had a more in depth birth experience. He saw the procedure (he had now seem more of my body than I have). He coached me through my tears and fright. He anounced that we had a baby girl, and to cut part of the ambilical cord. He got to hold her.

Reality started to set in once the numbness wore off and I was able to hold and keep our daughter. Every movement hurt, but our little Ada was healthy. Holding her skin to skin is something I will charish forever and is the memory I am trying to burn into my memory from this experience.

Welcome Ada! It's going to be a wild ride.

Sunday, April 5, 2015

Thoughts on being pregnant: week 37

Pregnancy has been pretty boring thus far. No morning sickness. No weird cravings. Baby's heads down. I was feeling.pretty good about things. This week changed that.

Two weeks ago I measured small. Then last week I measured small again, so my doctor had me go for an ultrasound. I went in  on Friday and baby measured fine - about 5.5 pounds. But contrary to what I had been told, baby was sitting breech. And I was low on ambiotic fluid. Wait, what? These were two unexpected findings. The doctor was worried that I was leaking fluid, so I had to get tested that day and come back for another ultrasound on Monday. If for some reason I was leaking fluid, or my water had broke without me realizing, I was told that I would be induced. Good news is there was no leak. Had my water broken I would have been scheduled for a c-section that day, and lord knows we were not ready for that.  But that still didn't explain the low fluid. Should I be worried? How low can I be before it is dangerous? Do I just need to drink more liquid? And the baby is breech, does that mean I am going to need a c-section regardless? Is there still time to get baby to turn?

So much left unknown.

Sunday, March 29, 2015

Thoughts on being pregnant: week 36

I'm now at 36 weeks and it definately feels like our baby is on the way. My back and hips hurts all the time   and I'm pretty sure I've started "nesting". The problem with my nesting is that it isn't in my nature to keep an area clear of clutter for very long (I am a horizontal organizer) so I keep tidying up the same things over and over again. But have also organized all out baby things and clothing as well as started to pack my labor bag. I've also been trying to make space for all the new things for baby, which has been quite the challenge in our 600sq foot apartment.

This week will be our last baby class and we will also take a tour of our birthing center. The classes have been really helpful with what to expect during labor and postpardum, but I must admit I am nervous for when baby is actually here. What will our baby be like? How will I know what it wants? Will I be an emotional wreck? Will I be super protective?

I guess we will find out soon enough!

Wednesday, March 18, 2015

The Northern Lights came to Milwaukee

It is nights like this when I wonder what we ever did without social media.  If it weren't for Facebook I probably wouldn't have even known that there was a chance of seeing the Northern Lights in Wisconsin.  If I has not searched Instagram and found hundreds of amazing pictures being posted of the lights in real time from around the world I probably wouldn't have ventured out to see if I could actually catch a glimpse.  I'm so glad that I did.

It's unusual for the Northern Lights to dip down as low as Wisconsin, let along be seen in a city with as much light pollution that Milwaukee has. I truly had my doubts, but I went with a friend to the darkest spot in the city I could think of and what do you know, there they were.  Of course they

Saturday, March 14, 2015

Thoughts on being pregnant: week 33

I've gotten to the point in my pregnancy when things are starting to get uncomfortable and challenging. I need help with my socks and shoes. I get stuck when trying to roll over in bed. My calf muscles are in knots. And I have to hold my abdomen during every sneeze. All this being said, pregnancy is still a fascinating and surreal experience.

I have always known that babies live and grow surrounded by fluid, however it hasn't been until recently that I connected all of our babies movements to that fluid. When I am standing baby is sitting

Thursday, February 19, 2015

Thoughts on being pregnant: 30 weeks

We found out in the beginning of September that we were going to have a baby.  September also marked our third year in Milwaukee and the start of a new job for me working at an elementary school. In October, my doctor confirmed the pregnancy and announced that I was already 12 weeks along. That was a surprise!  Of course we kept tradition and didn't let anyone know until 20 weeks.

It has been funny tracking my pregnancy with the school year. When I was hired, I was my normal self, but as the weeks went by, changes in my body started to happen.  I remember the day that it started to become uncomfortable to ride my bike to work...oh nooooooo!  However, it was now mid-November and the winter