Wednesday, March 5, 2014

Oh Sleep!

For months I have battled the overnight wakings, often several times in an hour, perplexed as to why!  I did everything right, didn't I?  I met my son's needs completely, instantly coming to his rescue whenever he even started to fuss, never providing any reason for him to cry.  Caleb is such a happy baby, so easy, agreeable and adaptable, so I know I'm doing something right, yet he sleeps terribly!  Why?!  Things were rough when he was a newborn, which is normal and to be expected, but then he started sleeping through the night for weeks around two-and-a-half to three months old!  I couldn't believe it.  In our "Happiest Baby on the Block" class the instructor told us that a couple of months after bringing baby home we would think we had the best sleeper in the whole world, and that shortly thereafter we would be scratching our heads wondering what happened.  She was totally right!  Caleb started teething at about three-and-a-half months and he hasn't stopped yet, which is right around when he started sleeping terribly and has ever since.  He's 10 months old and has eight teeth already, and it's looking like a molar is going to poke through any day now.  Of course it is, now that he just started sleeping better!  And I'll tell you, there's nothing we didn't try: nightlight on and off, shade down and up, music on and off, door open and close, propping him on his side and laying flat on his back, letting him cry a little bit and rushing right in, nursing overnight and not, having Shawn start comforting him and even Grandpa so he doesn't only calm down for Mommy, yet nothing seemed to have much of an impact.  His sleep patterns have been terrible and unpredictable, and his naps non-existent.  I have been so frustrated, and so jealous of the moms whose babies seem to sleep like clockwork every day and night for long periods of time.  What were they doing right that I wasn't?  I started reading books on baby sleep and researching it online, tried adjusting my diet, and of course canceled any and all plans around nap times (which I was always sorry for, as naps never happened when they were supposed to).  My days have been an up and down roller coaster of sleep attempts that rarely work, and if they do, as soon as I get him down, my to-do list is so long that I don't know where to start and wind up doing, nothing aside from often sleeping myself!  I have been so exhausted for so long and finally just gave it to God.  I told him, "Clearly nothing I'm doing is working so I'm laying it at your feet Lord.  I need you to take over, I need you to help me, and I need Caleb to sleep.  I've learned a lot from this, God, and maybe there's still more you want me to learn before you change things, but please help my son to sleep if it's in your will at this time Father.  We all really need it."  And of course, very soon after, Caleb started sleeping better.  Once I stopped trying to do it and figure it all out myself (as usual), things got better.  How many times is God going to need to teach me this same lesson?!

The last week has been amazing.  My son is finally sleeping better at night, getting up only once or not at all, and he's easier to get back down when he does.  Sometimes he doesn't nurse at all overnight anymore, which is awesome for being 10 months old!  Caleb started napping in the late morning for about two hours and sometimes he even takes a second nap for 45 minutes to an hour!  I hardly knew what to do with myself at first, but I've been happily readjusting to having some time that I'm not too exhausted to do anything with.  I have to force myself to walk away from the sink and laundry to spend time with the Lord first, to do some yoga postures and just breathe, to sit for a few minutes in silence, and then to knock a couple of things off my to-do list, but I'm always happier when I do.  And surprisingly, or not very surprising at all actually, when I take time to pray and read the Bible, and even spend just a little time with God first, I always wind up getting so much more done in my day than if I forgot God to just power through.  Priorities.  I'm finally learning. :)  Of course, there's been some bumps in the road now that Caleb is napping.  I hardly go anywhere during the day so that I don't disrupt this beautiful routine, and since sometimes he sleeps-in later and then naps later, or vice verse, it's hard for me to make any plans at all during the day.  We live so far out from all my friends now, that the car ride alone often takes all the time we have before we have to head home for a nap, etc.  I feel bad being so unreliable these days, canceling plans left and right, and sometimes I get a little depressed that I don't have much social interaction at all anymore, but that's the price to establish good sleep patterns I suppose.  I need sleep, my body needs to finally heal, and that is my main priority right now.  Later, when Caleb is a little older and our sleep routine is more set in stone (ha, is there such a thing?!), I'll be able to mess with it here and there, but right now, it just doesn't seem worth it.  And I know that any newer momma reading this totally understands!  Yet, sometimes I allow the voices of those who don't seem to understand (like my dad or people who went through it too long ago to remember) to guilt me into not being so "rigid" with his routines...and I always regret it.  I prayed for sleep for months, and I went through hundreds of days straight with very little assistance overnight, nights that often consisted of four-six wakings an hour (unbelievable, I know!), so it seems utterly ridiculous to want to mess with it this soon.  I'm learning, slowly, to smile and nod when people give me their opinions on my parenting choices, and to then continue with whatever I know works best for myself and my son.  No one knows Caleb like I do, and no one knows what works best for both of us better than me. Even still, today, I messed with it.

 For two weeks Caleb and I have been sick and barely left the house at all, except for grocery shopping and church.  He hasn't been in the gym day care at all (which is probably where he picked this nasty bug up from) so I haven't worked out in weeks, and I've been feeling so lowsy that I've been back to sleeping whenever he does.  This sick stint was made much worse, utterly depressing actually, by sub-zero temperatures and even more snow.  Today I was supposed to take Caleb to the Mommies group I started in the city, about 25 minutes away, which is where we lived until a few months ago.  We haven't gotten there much lately, since we've been sick and were working on establishing naps for a while, but today I felt like I should really go.  Sometimes I feel judged for never making plans when Shawn is home since Caleb and I don't get to see him much, and I also feel bad for hardly ever making it anymore to the meet-up I myself started!  Caleb was supposed to go down for a nap around 12:30/1 p.m. and the girls were meeting at 12 p.m. so I decided to go and hope he would fall asleep on the car ride back and let me just lay him down when we got home.  I knew I shouldn't go, since it was nap time, but we haven't seen anyone in weeks, Caleb has had no one to play with, and I just felt plain bad about not making it in several weeks.  Guilt is never a good reason for anything, and I should've known that.  Caleb fell asleep in the car just as we got there, was pretty low-key the whole time we were there since that was his nap time, fell asleep halfway home and then woke up immediately when I got him out of the car.  I tried to put him in his crib and he wasn't interested in sleep at all.  After 45 minutes, I went in and got him.  I tried again later...nope.  I was so upset.  Immediately the inner dialogue starts

I shouldn't have felt judged for not making it to my group lately, and for the plans I've had to miss or reschedule, because it's all just part of it!  This is called being a mom.  I have lived exhausted for months and am just finally getting my son into a better sleep pattern, so I shouldn't feel bad about focusing on that at all!  I don't have to please anyone except the Lord.  So why do I care what other people think?!  If I'm doing what's right for myself and my son, that's all that matters.  I always second guess myself (ex. "well I shouldn't have to stop living my life so that Caleb can nap at the exact same time every day") but I shouldn't because I'm a great mom, I know what my son and I both need, and this is all just temporary.  Once we have a well-established nap and overnight sleep routine, even if they don't take place at the exact same time every day, then I can make plans here and there, but for now I'm just happy that he's napping.  I asked the Lord to help Caleb sleep, so I don't want to turn around and complain about the way that's effecting my ability to go anywhere or do anything.  Talk about ungrateful!  I will be able to get out of the house more soon, but for now I will do it around Caleb's naps.  They are too precious to me right now, and the time I get while he's taking them has been my saving grace.

So, what is the lesson?  I'm walking away with two.  One, stop worrying about what other people think so much especially because most of the time it's only in our head!  If someone is disappointed in me for missing or changing plans, that's okay.  And if someone else talks about me for it, or judges me for it, that's okay too.  It doesn't have to effect me.  Remember, the only person we need to worry about pleasing is GOD.  No one else.  Second lesson, stop being afraid so much.  The only thing we should fear is GOD.  Outside of that, fear is a sin.  Being afraid that making any plans during the day will cause a nap and overnight problem again, or put us right back at square one, is a sin.  Today, as soon as I got home and tried to put Caleb down unsuccessfully, I immediately started all the negative self-talk.  "I knew I never should've left the house."  But the truth is, it's okay.  I'm allowed to live and allowed to make mistakes.  It's not the end of the world that Caleb didn't get to nap at exactly the same time as yesterday, and I don't have to be afraid he'll sleep terribly tonight or never nap again.  I imagine God would say to me, "Oh ye of little faith."  Caleb's sleep patterns were so bad for so long that my fear has become greater than my faith, and that's not good.  So lesson number two is to stop being so afraid of how every little thing will effect Caleb and trust in God more.  He has provided for me so completely every time I place my trust in him.  I just need to do that more often, and stop letting my mind, and my fear, get the best of me.

Tonight I am grateful that no matter how many times I repeat the same mistakes, God forgives me.  I am grateful that while my son hasn't always slept well, he is healthy, and happy, and amazing!  And if he doesn't sleep well tonight, that's okay.  There's always tomorrow.  Because the truth is, this is all part of being a momma, and it's all amazing in its own way.  One day, I'll miss waking up to hearing "mum, mum, mummmm" on the monitor and seeing Caleb's big smile when I walk in the nursery.  I'll miss the late night feedings, the snuggles as he nurses himself back to sleep, and his sweet, innocent sleeping face as I lay him back down in his crib.  One day, I'll miss being needed so much, all day AND all night.  So for now, whether we have a good sleep routine or not, I will be grateful, I will smile through it, and I will try to stop complaining about the struggles.  Because the truth is, you don't get all the good parts of being a mom without the challenging ones.  They're a package deal.  And the long nights and tired days are what make the good nights so much sweeter! This momma, sleeping or not, is blessed beyond belief.  Thank you Lord, for my little piece of Heaven and all you are teaching me through him.  May I be a more faithful woman and momma every day...


Thursday, February 27, 2014

Lessons in Acceptance and Priorities

As you can tell from my lack of posts, being a first-time mommy has kept me very busy.  I've been a stay-at-home-mom (SAHM) since Caleb was born and honestly feel like I've never been busier!  Between nursing throughout each day and night for ten months now, thousands of diaper and clothing changes, doctor appointments, photo sessions, swim and music lessons, nap schedules, making homemade baby food, a baptism, teething, illness, moving out of our apartment and into another home, paying bills, making meals and doing dishes, cleaning and folding laundry (which takes place almost every day since we switched to cloth diapering), picking up toys, planning a wedding, and now planning Caleb's first birthday, it seems I'm always playing catch up with my to-do lists, and I only have one kid!!!  But I know that I'm not being the best mom that I can be when I do all these things on repeat each day, focusing completely on Caleb and my mom to-do list, and forget about myself.  The days I get frustrated easily, complain a lot, or lash out at Shawn (my fiancee) are always the days (or weeks) that I haven't taken any time to do something for me, even if that's just a five-minute shower.  It's been very challenging to accept all the life changes, I won't lie about that, particularly because I wasn't ready to get pregnant when I did.  Shawn and I weren't done just dating each other yet, we weren't married, we didn't have a house, and I hadn't even picked my career yet, let alone establish it!  That said, we're happier than we ever were, there's just a lot of things we are still trying to do that are more difficult now that the baby is here.  There are so many fabulous things about being a mommy but there are also so many difficult things, the kind that take a lot of adjusting.  For me, one of the greatest adjustments has been never being able to do anything for sure, let alone easily, and not doing it on any kind of regular basis.

We won't even go into how unreliable I've become in terms of being where I'm supposed to be one time, if at all, thanks to sleepless nights and ever-changing nap schedules (thank you teething!), but simply not being able to do anything I used to love doing has been difficult.  I am a yoga instructor and I love teaching, but I haven't been able to commit to regular classes since Caleb arrived.  I have tried, but with Shawn working 65+ hours a week and never getting home on time, coupled with a baby who wants to eat from me every two hours, it didn't work well.  Even worse, I haven't been able to practice regularly.  Once I got into the groove of going two to three times a week for a month or so, but then we moved out of our apartment and now I'm too far from a studio.  I've learned that's just how parenting goes!  It seems that every time we fall into a nice groove, it changes.  What a lesson in acceptance!  I'm learning, something I think I'll continuously be learning, to stop fighting all the changes and just accept them.  This is my life right now and I'd rather enjoy it than fight it.  One day I will look back and miss when my baby was so little and I don't want to remember that I was always fighting the changes or just "trying to get through it."  So how do I enjoy it, now that I've made it sound so absolutely terrible (which by the way, it totally isn't)?!  Well, I focus on the smiles, the heart-warming giggles, the cuddles, the daily developments and huge baby milestones, the unbelievable way it feels to hold and watch my baby as I nurse him, the chubby cheeks and thighs, the sound of the most amazing word in the world - "mama," and the gift of being with him every day while he is so little instead of having to leave him with someone else.  I focus on being grateful, which helps me a lot.  Sometimes I get into a complaining rut where I feel bad for myself for not having a mom or mother-in-law around to give me a break sometimes, let alone 40 hours each week, but I quickly remind myself that if I was at work all week, I'd miss my baby all the time.  I also remind myself that even though I don't have either of Caleb's grandma's here, I have two grandfathers and two awesome great-grandmas, some rockin' aunts, a fabulous Aunt Sandie and "Nanando," and so many other awesome people in my life to love Caleb and help me out when I need it.  What you focus on becomes your reality, so I try not to focus on the challenges so much as the blessings (again, something I have to keep working at every day).

Aside from that, I also try my best to focus on myself, and Shawn.  I may not be able to make it to the yoga studio very often right now but I can roll out my mat downstairs and do a few postures when the baby naps.  Ideal?  No, and often he wakes up right after I start, but that's better than nothing!  See, becoming a mom really just takes an attitude adjustment, otherwise you'll drown in a sea of nostalgia.  Life used to be a lot easier but now it's a lot better!  Instead of focusing on all I'm missing out on, I try to shift my focus to all the cuddles, smiles, and precious little moments with my baby.  I listen to the voice inside of me that expresses the occasional need for more me time, like getting to an actual yoga class or heading over to the coffee shop to write or chat with a friend, and ask Shawn for help to see it through.  Likewise, I watch Caleb for him to get to the gym or do anything he needs to.  We are a team and we're both going through so many changes that is important to help take care of not just ourselves, but also each other.  Before there was a baby, there was a relationship.  Caleb is the by-product of my love for Shawn and his for me, and it's important to remember that.  Caleb shouldn't be #1, though many new parents often make that mistake.  It's easy to fall so in love with your little one that you forget who you are really in love with, and that's when many problems start.  I recently saw something on Pinterest that said "Spoil your spouse, not your kids!" and I really loved it.  How true, though many people have it backwards.  Trying to be Super Mom and do everything alone is also a big mistake most new moms make, one that breeds frustration with and bitterness toward the spouse/partner.  Trust me, I realized this early on and have to work on fighting the super mom urge every day!  These are easy mistakes to make but ones that aren't easy to undo.  It is so important to push myself to find the time to connect with Shawn and get out of the house together, without the baby.  It is hard at the beginning but necessary for a healthy relationship, and after just a couple times, it won't feel like just another thing on the old to-do list but something you genuinely look forward to!  Sometimes it feels like the baby changed everything, I know, but remember not to let the baby change everything.  Your partner still deserves you and your love and attention, even more than baby does.

As always, I hope some of the realizations I've had and lessons I've been learning help you in some way... Hugs!


Thursday, May 9, 2013

My First Labor: Caleb's Birth Story


As most of you know, I did a lot of research on labor and made my birth plan specific to the natural birth I wanted.  I wanted the absolute best experience for my son and I wanted him to be born as healthy as possible and alert enough to breastfeed, which often doesn't happen after medical intervention.  Being a first-time mom, I knew that all my research aside, I had no idea what I was in for so I hired a doula to help secure a natural birth for Caleb.  I was even very adamant about my son coming at his own time, which is why I was so quick to shoot down the doctor that suggested an induction just two days past my due date.  I wanted to experience my body going into labor on its own just as much as I wanted Caleb to pick his birthday, but that decision wound up being one I needed to make a second time, when the stakes were much higher.  My labor was much longer and much more painful than usual because Caleb decided not just to come at his own time, but in his own very special way.  Caleb was born in a posterior position, facing up instead of down, which is so rare that less than 5% of babies are born this way.  Here is our story...

I experienced my first contraction on Monday, April 15, one week after my due date.  I wasn't sure if what I was feeling was a contraction but after I experienced the same sensation multiple times, I was pretty sure.  I woke Shawn up and we were both very excited so we decided to get things going by taking a walk around the park.  My doula had told me that before I called her, I should do five things: eat, drink, walk, shower, and sleep.  If any of these things stopped the contractions, it was false labor.  Unfortunately, our walk took them away.  Bummer.  Several hours later, I started to experience a couple contractions again that were stronger than the first ones.  We went home and I layed in bed, surprised by how much they hurt.  We had plans to walk around the park again with one of my good friends and her fiance, but I didn't know if I'd be able to keep them.  I decided to try, knowing walking would only speed things up, but yet again they disappeared on the walk.  Shawn and I came home and ate dinner, and then they started again, this time even stronger.  They continued to get stronger and were anywhere from 10-12 minutes apart, lasting 30 up to 70 seconds.  Even though the contractions were incredibly uncomfortable I knew they were only going to get much worse so I practiced breathing through them and relaxing as much as possible.  I had heard that contractions start in the back and wrap around to the front but mine didn't wrap.  The only place I felt them was in my lower back, which was surprising to me, but seeing as how they were somewhat regularly spaced and getting stronger, this was definitely labor!  I texted my doula to let her know and apologized if I had to text/call overnight, which I had a feeling I would at this rate.  I labored with Shawn as long as I could but asked my doula, Angel, to come over around 3:30 a.m.  By this time my contractions were about eight minutes apart.  Angel asked me some questions and seemed to think I still had quite a way to go, so she encouraged Shawn and I to try and lay down and get some rest.  Getting rest seemed impossible but we tried anyways.  Shawn quickly fell asleep but I woke him up when my next contraction hit.  I didn't want to do this alone.  Contractions are scary but I tried not to be afraid.  Shawn breathed through each one with me and reminded me to relax.  Everything I had read told me that when a woman tenses and freaks out during a contraction, her body releases adrenaline, which actually stalls labor.  I didn't want to be in pain any longer than necessary and I was dying to meet my son so I did my best to relax.  But just as my sister Kathryn had told me, this was much easier said than done.  In fact, it was the hardest thing I had ever done up to this point in my life.  The immediate reaction when a contraction hit was to tense up and grab onto Shawn but I recited the word "relax" in my mind, and also the words my doula had told me to: "soften and open."  The contractions were helping me, they were softening and opening my cervix, and in order for them to do their job I needed to do mine.  I needed to breath and stay calm.  I needed to surrender to them rather than fight them, but the back pain I was experiencing made this harder and harder each time.  I walked out into the living room and had to brace myself against the dining room table as another one took hold.  My doula got up from the couch and asked me if she could try something.  She firmly pressed into the sides of my hips with her palms and although this maneuver certainly didn’t take the pain away, it did something.  In a way I think creating pressure somewhere else distracted my mind from the pain in my back but it also seemed to lessen it ever so slightly.  During the next contraction she ran her fingers firmly down my back from top to bottom.  This felt good too, as good as it could get for being in labor.  I wondered how far along I was and tried to keep waiting as long as possible but the contractions were gradually getting more intense and were now about five minutes apart.  I walked as much as possible but it was almost impossible now.  The best I could do at this point was stand.  Sitting, laying, walking, standing – it made no difference.  There was no relief.  I tried to sit on the exercise ball, knowing this helps move contractions along, but I couldn’t bear it.  I also tried getting down on all fours but that was just as terrible.  Two hours and 45 minutes after Angel arrived, we decided to go to the hospital and get checked in.  

I was a little nervous to leave the house, not sure how much progress I’d made, and I was dreading the car ride.  Every bump felt like it was going to be the death of me and staying calm took much more effort.  We arrived at Mercy about 7 a.m. but the midwife wasn’t there yet.  I was shown into a room with a jacuzzi tub, which was awesome because I really wanted one but only four rooms have them.  The nurse who showed us to our room and got my paperwork started was super nice and I felt really comfortable with her.  Awesome start.  I'd never been in a hospital for me so I expected to be very anxious and afraid, yet somehow I succeeded in staying calm.  I changed into a gown and Angel set up the table by my bed with my focal point, a picture of my mom, my coconut water, suckers, and the baby book.  The nurse told us we were free to walk around if we wanted, and since laboring on your back is the worst thing you can do, we walked!  I was surprised that my contractions had no stopped at all, since I had heard it does for many women when they arrive at the hospital, a place they don't usually feel comfortable.  I was doing good staying positive and focused, breathing, and not letting my fear get the best of me, which was reassuring!  As we walked the contractions got closer and closer, and they hurt more and more.  The pain shooting across my lower back was almost unbearable.  It was hard to stand but there was nothing else to do so I just grabbed onto Shawn and did the best I could to breath through it.  When my midwife arrived she told us we could go back to the room and she'd be right in to check me.  I was a bit nervous but also excited, as I had to be pretty far along by now.  When Kim, my midwife, came in, the nurse already had me hooked up to the monitors and ready to go.  Kim explained what she was going to do, which was barely uncomfortable at all, and then told me that I was 80% softened and two centimeters dilated.  TWO CENTIMETERS!  What?  How could that be.  The look on my face must've said it all.  I was crushed.  Kim immediately tried to reassure me that I was doing great and had already done a lot of hard work.  She told me that a woman's first labor is always the longest and that early labor, which I was apparently still in, can last days.  This devestated me much more than it helped.  I couldn't do this for days.  No way.  "How could this be?!"  I asked.  "I've been in labor for a day already and the contractions are stronger and stronger and closer and closer together?"   Kim answered: “What’s happening right now is that your cervix hasn’t moved forward yet, which is why you’re not dilating.  The baby’s head needs to push on the cervix during contractions in order for it to open, but your cervix is still really far back.  This isn’t anything you can control and you aren’t doing anything wrong.  A lot of women find themselves in this situation and it just takes time.”  She paused, obviously noticing how disappointed and discouraged I looked, not to mention the tears flooding my eyes.  “I know you probably feel very disappointed but you shouldn’t be.  You’ve done a lot of great work so far and early labor is the longest stage.  Now there are some things I can do to speed the process along, but knowing your plan for a natural birth I’m hesitant to do that.  One thing I can do though, if you’re up for it, is pull your cervix forward during a contraction or two.  That’s usually enough to get it to stay put and your contractions will become more effective at dilating you.”  “Is that painful?” I asked.  “No more uncomfortable than the exam I just gave you, really.”  “Okay, well let’s try that.”  I was a little scared but I needed to do what I needed to do to get my son out.  “She told me to relax and take a deep breath and what I immediately felt was definitely uncomfortable.  As she held my cervix there, waiting for a contraction, I started to not feel well.  I kept breathing but I felt a little nauseous and told her that.  “Scratch that, I feel very nauseous.”  My legs started to shake and I suddenly felt weak and a little light-headed.  “I really don’t feel well,” I told her.  She slid her hand out and I felt extremely close to passing out.  The nurse got me a cold compress for my head and someone else handed me a bucket to throw up into if I needed it.  Kim then offered me some juice, which I happily accepted.  She gave me a minute to feel better and apparently my coloring came back.  “So your cervix was pretty stuck back there and fought me to go back, but at the end it seemed like it might stay put.  I would’ve held it forward longer but you obviously didn’t feel well.  So, let me give you all your options"   Shawn and Angel listened as intently as I did.  “If you want to stay at the hospital, I'm totally fine with that.  I can break your water and that will really get things going.  However, hospitals expect progress of one centimeter an hour and if that doesn’t happen, they’ll want to intervene.  Knowing your wishes for a natural birth, I’m not sure that’s the best choice for you.  I’m also very concerned about your level of fatigue.  You haven’t slept in over 24 hours and you haven’t eaten much.  Your body is already weak and tired, which we just saw when I tried to hold your cervix forward, and that concerns me because you still have such a long way to go.”  I listened intently but could feel all the emotion bubbling up inside of me.  I was so overwhelmed.  “I just can’t believe I’m only two centimeters.  I’ve already labored for over 24 hours and the back pain has been insane.  If it took that much to only dilate two centimeters, I don’t think I can do this," I admitted, starting to cry.  "I wanted a natural birth so bad, but my God, how will I ever get to 10?!” Eeryone seemed to understand my feelings.  Angel jumped in and reemphasized that I shouldn’t be disappointed.  “I understand how upsetting this is Kim but you shouldn’t feel like you can’t do this anymore.  The first four centimeters are the hardest, everyone knows that, and you work the most for them.  You’re already halfway through that!  After four, your body just kind of cruises through the rest, and some women go from 6 to 8 or 9 centimeters in an hour or so!  Don’t think about what lays ahead right now.”  I knew she was right, but it was so hard to do.  Kim added: “Honey, you've done so much hard work already and you've really come such a long way, whether it feels like it or not.  I know you’re discouraged but early labor just takes time.  I think that at this point, knowing your wishes, the best thing you can do is to go home, take a couple Tylenol pm tablets, eat a big meal, and try to get some sleep.  Your body will be so much more rested and prepared for labor if you do that.”  I really didn’t want to go home.  Here I thought I had waited extra long at the house and labored much further so I wouldn’t be one of the women who get sent home.  I kept pushing and pushing until I was absolutely certain I should go to the hospital, just to find out I was only two centimeters.  It was so disappointing.  I felt like such a failure, I felt weak, and now I felt completely unsure of whether or not I could have a natural birth after all.  “How could I possibly sleep through this, though?”  I asked my midwife.  “If I can barely breathe through the contractions, there’s no way I can sleep, and there certainly isn’t enough time for me to fall asleep in between them.”  She responded, “That’s what the Tylenol pm is for.  It will take the edge off of the back pain and allow you to fall asleep.  Just take two.  Then, whenever you wake up, I want you to call me and we’ll see where you’re at.”  She studied my face, clearly searching for something to say that might make this a little less disappointing and overwhelming.  The compassion in her eyes and her willingness to share her own story truly touched me.  “Like I said, there’s plenty of options and you’re more than welcome to stay here, but based on your birth plan and your level of fatigue, I’m not sure if that’s the best option right now.  The choice is yours, but I’ll tell you that when I was in labor, I hadn’t slept either and I labored all night.  When I got to the hospital the next morning, I was only one centimeter dilated.  I was heartbroken.  They sent me home but I wanted to keep it going so I kept walking and moving instead of resting.  I had contractions all day, overnight, and went back to the hospital the next morning.  I hadn’t slept or eaten much in over two days and my body was so weak.  I literally had nothing left by the time I needed to push.  If I could go back and do it again, I would’ve tried to rest in between.  You really will need it, and it’ll make your body better able to what it needs and you better able to actually enjoy your baby’s birth.”  I let out a big sigh and a few more tears.  I knew Kim was right but this was still so hard.  I looked over at Shawn and he looked just as disappointed, not to mention as exhausted, as I did.  “I really don’t want to go home.  We’re already here, all set up, I like my nurse and I got a room with a tub.  I’m here to have my baby and I told myself the next time I walked through my front door it would be with my baby, but apparently that’s not the way this is supposed to pan out.  I really don’t think I’ll be able to sleep and I’m surprised I could be in this much pain in early labor, it makes me very scared of what’s up ahead, but I guess I have no choice besides to go home and try to rest.”  Kim told me that she’d give me a few minutes to discuss the decision with Shawn and Angel.  Shawn understood how discouraged I was but based on what Kim had said, he felt going home was probably best.  I desperately needed rest and a good meal.  Angel emphasized how nice it was that Kim was giving us so many options and said it was clear how much she cared about me and respected my birth plan.  She agreed with both Kim and Shawn that going home and resting would probably be best, and told us she’d come back over as soon as we needed her.  I went inside myself for a moment and tried to connect with Caleb.  Tears flooded my face as I looked at my mother’s picture in front of me.  I no longer knew if I could do this, but at the moment it didn’t matter.  My contractions were subsiding, probably because of how upset I had gotten, so going home was probably best.  I’d be more comfortable there and if the contractions were slowing, perhaps I would actually be able to get some rest.  I didn’t want to leave the hospital, I just wanted to meet my son.  I had been so patient already but apparently Caleb needed a little more time.  This was my second test.  I had the option to force the birth, to make my body and Caleb be ready, but I didn’t want to do that.  In my own head I heard a little voice say, “Not yet, mommy.  I’m almost ready, but not quite.”  Okay, little buddy, I’ll do whatever you need.  I looked at Angel, then at Shawn, and through my tears and disappointment told them, “Okay, let’s go.” 
Angel began to pack up my bag, Shawn helped me change back into my clothes, and when Kim stopped back in I told her I decided to go home.  She smiled, clearly happy, and told me to call her whenever I woke up. We said goodbye to Angel in the parking ramp and I dragged myself to the car.  The minute Shawn closed the door on me, I burst into tears.  I can’t believe I was going home, going home without my baby.  I labored at home so much longer than I would have to ensure this didn’t happen.  Shawn got into the car, looked at me, and pulled me in for a big hug.  I told him how disappointed I was, how worried I was that I might not be able to do this after all, and how much pain I was still experiencing in my back.  “Honey, what’s the one thing you really wanted to do before Caleb was born that you didn’t?”  “Go see my mom?” I asked.  “Yes, so let’s go see her.”  All I wanted was to go home and be where I feel safe and comfortable, I really didn’t feel like running around but I knew Shawn was right.  “We are actually very close,” I told him.  “Maybe that’s why Caleb didn’t come yet honey.”  He began to drive and I was left to my own thoughts.  I couldn’t even deal with looking at my cellphone or telling my family what had happened.  I was still too dissappointed and overwhelmed.  When we arrived at the cemetery Shawn pulled over near my mom’s plot and we walked over together.  I knelt down, Shawn put his arms around me, and I released my tears along with my feelings.  I spoke outloud to my mother, telling her I needed her to be here, telling her how overwhelmed and disappointed I was.  I asked her to be with me and to guide me throughout the rest of my labor.  I begged for her help and her strength.  I told her I loved her and that I missed her, and then got up to leave.  The dreary, rainy day matched my mood, but if it was nicer I might’ve stayed longer.  My back was killing me and I knew I needed food so Shawn and I hugged and then walked back to the car.  We passed Wayside on our way back to the thruway, a diner that was my grandma and late grandfather’s favorite.  I didn’t feel like being in public at all but I needed food fast and cooking wasn’t an option.  I was afraid of having contractions at the restaurant but hopefully we could get in and out.  It was almost 2:00 p.m. so I couldn’t imagine it would be busy.  We were shown to a booth and ordered quickly.  I did have quite a few contractions and noticed a few people looking at me as I shifted the weight off of my bottom in an effort to alleviate my back pain.  I closed my eyes and breathed deeply but my face was twisted in pain and discomfort.  Shawn looked like he felt terrible, other people looked at my like I was crazy, and all I wanted to do was go home.  Luckily our food came fast and I devoured almost all of my cinnamon French toast quicker than I’ve ever eaten anything.  We stopped at a Rite Aid on our way home to grab the Tylenol pm and they were out.  Of course they were.  Next we stopped at a 7-11 and they didn’t carry it.  Being in the car when I was so uncomfortable was getting really old.  I just wanted to go home.  Our last stop was at Tops and they didn’t have it either but they had a generic version so we just grabbed that.  I took it before we were ever out of the parking lot.  When we arrived home I told Shawn to leave the hospital bags and everything in the car.  I assumed we’d be going back very soon.  When we walked up the stairs and opened the door, reality sunk in and the tears returned.  I looked at Shawn and said, “I told myself the next time I walked through this door I’d be holding my son.”  He held me as I cried, understanding and sharing my disappointment.  “Let’s just go lay down and try to get you comfortable honey.”  We did lay down and it took me a while to fall asleep, but I did manage to dose off for almost two hours.  When we woke up, I called Kim and let her know that I was barely having any contractions anymore and they were much weaker.  I was disappointed by this but almost a little relieved to be out of pain for the moment.  She was happy to hear I was experiencing some relief and encouraged me to rest as much as possible, rather than walking or doing anything to jump-start labor again.  She told me that she hoped I could sleep through the night and then get up and get things started tomorrow, but also told me that labor usually starts overnight.  “If the contractions wake you up, try to sleep through them.”  I still think this is not only crazy, but impossible.  “If they are too strong and things progress quickly, give us a call and head back to the hospital.  I’ll be there tomorrow too.”  I was relieved to know she would be working again, since she had been so caring and concerned with my birth plan.  After I hung up with Kim, Shawn and I made pasta and settled in to watch a movie, which really helped to take my mind off things, and I was amazed that the contractions had almost completely dissappeared.  I guess that really was just early labor, and if it was, I was in for a much bigger challenge than I thought. 

Around 10 p.m. I told Shawn we should get ready for bed.  I brushed my teeth, washed my face, through on pajamas and crawled into bed, and within about 20 minutes of trying to fall asleep, the contractions came back, with a vengeance.  They were strong immediately, though still fairly far apart, but these contractions were distinctly different.  I still felt the majority of pain in my back, though it was significantly worse than the first round of contractions, but I also felt these in my front.  Perhaps Kim had succeeded in pulling my cervix forward, or maybe my body did that on its own, but I definitely felt these contractions where I had a feeling I was supposed to.  The contractions I felt on the front-side of my body were totally doable but the ones in my low back were not.  These ones were even worse than before and I could not believe how unbelievably painful they were and how quickly they got worse.  I haven’t tried to describe the way they felt to several people and I just can’t do it.  At first I said that it was like someone was stabbing a hundred knives in my low back but that wasn’t an accurate description at all.  I've decided describing what it felt like is impossible but it is the worst thing I’ve ever felt, by far, and I don’t ever want to experience it again.  I didn't find out until much later why I experienced so much back labor and why mine was more severe than most.  

This second round of contractions came with a slew of other sensations as well.  I felt nauseous, shaky, and weak all over again.  As I lay in bed waiting for the next one, I got very cold.  My legs started to shake uncontrollably and I didn’t know that was because I was cold or simply due to all the hormones.  Shawn got my old down comforter out of the closet to layer over our other comforter and helped me get into one of his hoodies.  When a contraction struck, I immediately got hot.  I would kick off all the blankets and try not to toss and turn as the contraction took hold.  Shawn would jump up and turn the fan on for me, rushing back to my side as quickly as possible to wrap his arms around me and help me breath.  He said some great things, like "Don't be afraid honey.  They can't hurt you unless you let them."  In my downtime, which was getting smaller and smaller, I prayed for the strength to keep going.  When a contraction got really bad, some were so much worse than others, I prayed the same words my mom did when her cancer took over: “Jesus, I trust in you.”  I reminded myself of what she always told me, “God never gives us more than we can handle,” and tried to trust my body’s ability to do what it needed to birth my son and my ability to let that happen.  I continued to labor in bed as long as I could, knowing I should get up and walk to get Caleb out sooner but feeling completely unable to do so.  The contractions were strong enough as it was and the thought of walking, or even standing, was unbearable.  I wriggled in pain but tried to remain still and let the contraction do its job.  I turned my focus inward and breathed as slowly and deeply as possible.  Within 45 minutes of these contractions starting they were significantly stronger and closer together.  They were all equally strong now with a few extra strong ones that I actually felt opening my cervix (I know this sounds crazy but yoga has made me super self-aware and incredibly in tune with my body).  It was such a weird sensation.  I wanted to labor a while on my own before calling my doula again but it didn’t seem like that was going to happen.  The contractions were about six minutes apart already and so strong I couldn’t talk through them, which is exactly what Kim told me they needed to be like.  Angel arrived at 12:20 a.m. and I managed to get out of bed and greet her.  She asked how I was feeling and noticed the obvious difference as she watched the contractions wash over me.  Breathing took much more effort, I was no longer able to talk during them, and I felt completely drained when they ended.  I tried standing and the pain was almost unspeakable.  Getting on the ball made me immediately jump off in pain and I fell to all fours.  That was almost as bad, so I squirmed onto the couch.  Holy cow!  “Breath honey, Shawn reminded me,” and I could hear Angel loudly, slowly breathing to help me do the same.  I was successful at letting the majority of contractions wash over me and do what they needed to do without tightening my body or wriggling in pain, but I didn’t win every battle.  Some took me by surprise and scared the crap out of me and I grabbed onto Shawn for dear life.  He could instantly tell which ones were the worst, and the longest.  Most of them were a minute or minute and a half, but some were two!  I now lived for the initial moments after a contraction ended, when the relief sunk in.  I loved this time more than when I was between contractions because when I was in between them it was a false sense of relief, as I knew the next contraction was on its way.  It loomed over my head, my inevitable fate, but the time when one ended was the sweetest time there was.  Relief.  Angel encouraged us to try laying down again and rest but that didn’t work.  At this point, laying down gave me nothing to do but think about the contractions and somehow it gave each one more power.  I asked Shawn to turn on my positive affirmations for birth video, the one I had found on YouTube that was set to relaxing, soothing music.  Each one had a picture of nature, or a baby, and said things such as “Relax,” “Birth is a normal, natural process.  I trust my body and my baby,” and “Labor cannot be stronger than me because it IS me.”  I breathed deeply through the contractions, allowing the rhythm of life to flow through me.  Caleb was on his way.  My body was helping him come. I tried to connect with Caleb.  I told him I was doing my best to meet him as soon as possible.  When a super strong contraction came on, one I wanted to fight or get up and run from, I asked Caleb to help me.  I was trying to relax and I hoped he was trying to come out.  I relaxed as deeply as I could, doing nothing but breathing and clearing my mind, and it was the hardest thing I’ve ever done.  It only got harder.  I managed to walk back out to the dining room and braced the table as another contraction took me over.  Angel and Shawn stood around the table and I felt them staring, so I asked them to talk.  Normally I do all the talking (anyone who knows me even casually can attest to this), but I couldn’t at this point and at least listening might help distract me from the pain.  There was silence as they each tried to think of what to say.  “Something guys, anything,” I spewed.  “Um, so I made some really good miso soup tonight,” Angel said, and I wished I could laugh.  We laughed about it on my couch a week later at my postpartum visit, when it was much easier to laugh!  Angel or Shawn pushed on my hips almost every contraction.  If they didn’t, I asked them to.  It wasn’t too much help, but it was something.  I asked Angel when we should think about heading to the hospital and she told me it was really up to me, and that I was obviously further along than last time.  I told her I was scared to go back, afraid that I’d be only two or three centimeters.  “Well, we know you’re not two, because you’ve had a lot of contractions since you were two centimeters and they are much stronger now.  She said that we should hope for four or five centimeters when we got to the hospital, but who knows, maybe I’d even be six.  She reminded me that the first four are the hardest and that I was doing great.  I told her I was dreaming of getting into the Jacuzzi tub and that I wanted to head there now so I could get into it, mostly because I was still so cold and shaky.  At this point, I imagined the tub with hot jets shooting at my back would feel something like Heaven, but I didn’t want to go there yet because I was too afraid the same thing would happen again.  Angel asked if I felt up to taking a shower.  I told her not really, but that I would try.  She thought the hot water hitting my back would feel good, and that if nothing else, the shower might relax me.  I was too shaky and afraid to shower alone so Shawn got in with me and held me as the water ran over my back.  He must’ve been freezing and I apologized for hogging all the water but he didn’t seem to care.  He had goosebumps everywhere yet the look of concern in his eyes ran so deep that I could tell he didn't care about that or anything besides me.  He loves me so much and I tried not to cry with gratitude as I thought of what an amazing job he was doing.  He had already far exceeded my expectations, enough that I was willing to overlook the few times he fell asleep on me and left me to face the contractions alone.  I knew he was exhausted too.  The shower didn’t last long and I had three contractions while we were in there.  When we got out Shawn quickly helped me dry off and get back into clothes.  We returned to the dining room and I asked if I could sit down.  I told Angel I knew I should walk or sit on the ball but at this point I just wanted to sit.  Shawn grabbed a yogurt from the fridge and they asked if I was hungry.  “We’re going to be heading to the hospital soon, so you should try to eat something.  Does anything sound good?”  Nothing did.  I was still nauseous, but if I didn’t want to be on an IV, I knew I should try.  I had done an amazing job of staying hydrated, thanks to Shawn constantly holding the water bottle or coconut water to my mouth in between contractions, but food was another story.  He grabbed me some fruit salad but I was only able to take a could of bites.  Too acidic.  He asked about a bagel, and I told him I would try.  One bite was all I managed to get in.  I kept thinking about the hospital and I had a feeling it was time to go.  Fear was the only thing holding me back, but my mother taught me to never make any decision out of fear.  I was so afraid to hear I was only three or four centimeters.  I told Angel we should go soon, and God knows I couldn’t wait to get into the tub, but I was a little concerned that although the contractions were so much stronger than before, they weren’t much closer than five minutes.  Weren’t they supposed to get so close that they were only a minute or two apart?   God, I couldn’t even think of it.  I tried hard not to project into the future or think about the inevitable end that awaited me, pushing this baby out, but it was hard.  Stay present Kim, stay focused.  Right now, this contraction, is all that matters.  I felt the need to go to the bathroom and when I did, I wiped away what looked like a little blood.  It wasn’t much, but I knew this was a good sign.  I told Angel.  Back on the couch Shawn and Angel asked if I was getting ready to go.  I was still so hesitant.  I had a great experience at the hospital the first time, before Kim told me I was only two centimeters, but now I felt nervous and a little scared.  I was dreading the car ride most of all.  It was terrible the first time but now that my contractions were so much closer and stronger, I couldn’t imagine breathing through them in the car, especially as we hit pothole after pothole.  The roads from our house to Mercy were the worst, but I knew I had to do it.  Before we left, I had to go to the bathroom again and this time I knew what I was my the notorious "bloody show."  I told Angel.  “That’s a great sign Kim!”  She was so enthusiastic.  “Do you think your water broke yet?”  “No, it definitely didn’t.”  “That’s okay,” she said, reminding me that some women’s never does.  When we returned to the living room Shawn said he thought we should head to the hospital and Angel had to agree, so long as I felt ready.  I couldn’t put it off forever, and the tub was my motivation to bear the car ride.  “What time is it?”  I asked.  “Almost 4 a.m.,” Angel answered.  “We’ve been laboring here for three and a half hours.”  “Okay, let’s go.” 

Shawn grabbed the few things we had brought in from the car and helped me get my sneakers on.  I slowly made my way down the stairs and to the car.  Before I could get to the door, a strong contraction hit me and I grabbed onto Shawn.  He knew immediately what had happened, dropped the bags, and tried pushing on my hips as I held onto him.  It didn’t work well since he was in front of me rather than behind but I appreciated the effort.  All I could do once we got in the car was breathe.  I didn’t even bother turning on soothing music like I had on the first car ride.  I just wanted to get there and get it over with.  I snapped at Shawn almost every bump, and each time he asked me where he was going.  Hadn’t we driven this route several times, oh ya know, and yesterday?!  Breathing was getting hard, talking even harder, and every bump we hit or hard stop made me think the devil himself had a personal vendetta against me.  When we finally arrived, I told Shawn to pull up the valet, although no one was standing there.  We waited a minute or two and when no one came but another contraction did, I told Shawn just to park in the ramp.  The next contraction was so bad I asked him to pull over in the ramp and just focus with me.  That one was brutal.  Then I told him to hurry up and park.  The second floor has a bridge that connects to the hospital so we parked there, a couple spots over from Angel.  I breathed through another contraction and then got out of the car.  Shawn and Angel carried everything.  It was freezing cold, somewhere between 30 and 40 degrees, and I felt terrible that I couldn’t walk any faster than a snail.  Everything was tight and uncomfortable.  As we walked up the ramp leading to the bridge I grabbed onto a railing and braced myself.  Angel and Shawn stood there waiting for it to pass as I turned inward and tried my best to relax and breath.  This drive and walk were killing me.  Apparently that’s the downside to laboring so long at home.  I wished I could twitch my nose like Genie and be in the hospital room, but I still had quite a ways to walk.  Damn valet!  I pulled on the door to the bridge and it didn’t open.  I tried again.  Are you kidding me?!  I noticed a sign that said the bridge was closed overnight.  You MUST be kidding me.  Angel and Shawn looked as aggravated as me, but they weren’t the ones in labor!  I had no choice but to keep walking.  We got into the elevator and slowly made our way, between contractions, across the street and up to the entrance of the hospital.  I noticed a guy with a valet uniform on and wanted to attack him but I didn’t have the energy.  We slowly walked past the front desk and I ignored the man who asked why we were here and if we knew where we were going.  I’m breathing through a contraction here buddy!  I let Shawn and Angel deal with him.  We took the elevator up to the maternity floor and headed to check in.  A woman saw us enter, a nurse who is apparently a friend of Angel’s.  She greeted us and I smiled as big as I could and said hello.  Another contraction took over my body and nearly crippled me.  The pain shot up my vagina, around my stomach and across my lower back.  I felt it everywhere.  I grabbed onto Shawn and clung for deal life.  The nurse stopped talking and watched as I made no noise and breathed as one with Shawn.  When it was over, she ushered us into the room I would soon deliver my son in.

The first thing I asked was if the room had a tub, which Thank God it did, and that was all I could manage to get out.  I sat down on the bed and the room was immediately flooded with a team of nurses who got me set up, dressed in a hospital gown, hooked up the monitor, and asked me a slew of questions about my contractions, how I was feeling, if I had my bloody show and whether or not my water had broken.  It was overwhelming how much was happening.  It seemed like they didn’t understand I was having contractions, strong ones, ones that were no longer very far apart.  Another nurse came in and introduced herself, telling me she was going to check and see how dilated I was.  The moment of truth.  I said a quick prayer, opened my legs when she instructed me to, and tried to relax.  What she did didn’t hurt, which shocked me, and I was happy to hear her say I was seven centimeters and 100% thinned.  “Wait,” she said as she continued to feel around.  “Nope, she’s eight centimeters for sure. Good job, honey,” she said, looking at me.  “Honey, you did it!”  Shawn said.  I tried to smile as I breathed through the beginning of another contraction.  The news that I was so far along sent all the nurses into a frantic state.  Paperwork started flying at me and I began to sign my life away, barely able to understand what I was signing.  I couldn’t believe how much was going on at once. One nurse was asking me questions about my medical history, another was getting my arm ready for the hep trap (which I didn’t want but decided to give in to), another was adjusting the monitors on my belly, and Angel and Shawn were getting everything set up.  The contractions felt worse laying down, much stronger, and I asked Shawn to stand by the bed and hold my hand.  When a nurse asked him to move so I could sign more papers, I asked her if there was any way he could stay so she worked around him.  I needed him, end of story.  Angel walked over to the bedside and told me how proud she was of me.  “You did it,” she said.  “You got your natural birth!”  I was past the point of being able to receive an epidural so I knew she was right, but I began to wonder if I would want that epidural when it came time to push.  The thought of pushing an entire baby out from between my legs still scared the crap out of me!  It seemed like forever before the nurse I really liked, the one who cried when she asked about the picture of my mom and I told her she had passed 10 years ago from breast cancer, asked if I wanted to get into the tub.  THANK GOD!!  I decided to go in dressed in the hospital gown, figuring I’d be more comfortable if I wasn’t exposed, and immediately slid into the hot water.  It felt as heavenly as I expected and I felt my body instantly relax.  The warmth surrounded me and the chills I had had throughout my labor immediately subsided.  At this moment, everything was okay and nothing else mattered.  I had no idea what day it was, what time it was, how much longer I needed to labor or how the heck I was going to push this baby out but none of that mattered right now.  I was in labor-land.  This Jacuzzi bath was my hard-earned reward for nearly two days of back labor and nothing was going to take that from me.  I didn’t even care what still laid ahead and thinking about it was only going to prohibit my ability to enjoy this little bit of reprieve from the intensity of my back pain.  This was my time to relax, this was the calm before the storm, and I was taking my opportunity to relax!  I had read that Jacuzzi tubs are often used in natural births to help take the edge off the pain but one of my girlfriends recently labored in one and said that was the biggest load of crap she ever heard.  For her, it did nothing.  For me, it did everything!  I had to keep my right forearm out of the water because of the hep trap, so I let it drape over the edge of the tub and Shawn held my hand.  Both he and Angel watched me but my eyes were closed most of the time and I was unaware of anything besides the deep state of relaxation I was experiencing.  It was as if I was the only one in the room and I was in some sort of suspended state of reality, almost like a space-time continuum.  I could still feel contractions but barely.  My body was so unbelievably exhausted from all the work it had already done that it just melted into the tub.  Now, rather than turning inward to focus on each contraction and breathe through it, I turned inward all the time.  I was in a meditative state, one where I breathed deeply, allowed my body to relax from fingertips to toes no matter what it was experiencing, and I did not think.  The moment a thought entered my mind, like how much longer did I have to go or how was I ever going to get through pushing Caleb out, I let that thought go.  Giving away my peace to the future or any thought whatsoever was not an option.  I had worked too hard for this moment and I wasn’t going to let this peace pass me by.  Shawn later told me that I looked so out of it in the tub that he honestly would’ve thought I was laced out on drugs.  In many ways, I felt like I was.  The tub truly was a natural painkiller for me.  Before long, which I was later told was just over an hour, I felt a different sensation.  I was starting to feel the contractions a little bit more and although I didn’t quite feel ready to start pushing, I almost did.  The baby felt lower and I instinctively knew I wasn’t far from meeting my son.  It was almost time to push him out.  I opened my eyes, shifted onto my side, and told Shawn and I Angel that I felt like I was almost ready to push.  Angel got my towel ready and Shawn stood up to help me out.  It amazed me that without any drugs, I was able to connect with my body throughout my labor and listen to what it was telling me.  I have obviously never given birth before and have no idea what to do it amazed me that my body did.  It told me it was time to get out of the tub and I listened. 
The nurse came back to check on me just as I was getting out and Angel told her I felt almost ready to push.  She helped me get out of my hospital gown and into a dry one.  I was soaked in sweat from the heat of the tub so Angel wiped my face and then helped me over to the bed.  I immediately crawled into it and shifted onto my left side just in time for the next contraction to take hold.  “Shawn!”  I called him over and grabbed onto his hand.  This one was bad but maybe it only felt worse because I no longer had the heat and jets to distract me.  We got through it and the nurses hooked me back up to the monitors.  I closed my eyes and relaxed thoroughly between each one.  I no longer had very much time before the next.  The next contraction crept up on me and as it increased in intensity, it did something I did not expect.  It shook my whole body, mostly my stomach, as it began to push the baby downward.  I launched at Shawn, wrapping my arms around his shoulders, unable to relax.  I was petrified.  What was happening?  Then I remembered what Angel had said about the contractions changing at the very end of labor.  She said that once they had fully opened the cervix, they would begin to push the baby down.  I felt my whole uterus contract and shake, and was unable to stop my body from shaking and squirming with it.  These contractions were less painful than the other ones but much scarier and intense in a whole different way.  I got scared almost each time one struck and Shawn tried to soothe me while I did the best I could to breathe.  Nurses began to flood the room, checking my vitals, checking the baby’s heartrate and monitoring the contractions.  I heard a familiar voice and opened my eyes to see one of the doctors from my practice walking in.  Shawn and I had met her once.  She reintroduced herself and explained she was going to check me.  “She’s 10 centimeters.”  I looked over at Angel and Shawn, who were both smiling.  Here I was, at the end.  My body had done it.  I had done it.  The only thing left to do was push my son out.  My body was already preparing itself by pushing him lower and I could feel the changing sensations.  I felt a large amount of pressure much lower than I had before.  The door opened again and another woman introduced herself.  She asked me if my water had broken and I said I didn't think so.  She checked and confirmed that it hadn't, and asked if she could break it to get the pushing started.  It was done before I knew it and it didn't hurt at all.  The next contraction began shortly after and I felt something very different again.  This was it – the urge to push.  “I think I feel like I need to push,” I told Angel.  She told the nurse, who said she was going to go get the other nurses.  Angel told me to go ahead and push, and a nurse named Jill who had been assigned to me said the same thing.  It wasn’t going to do anything at this point and I’d need the practice.  I had no idea what I was doing and I grunted as I tried to do what I thought was push.  I realized I tensed my face and my stomach but I didn’t actually feel like I did anything.  I told the nurse and asked her to explain to me how pushing worked.  She told me that I needed to wait for a contraction to get strong and then try to relax my face and really bear down.  She said that I would feel a lot of pressure, a pressure that would eventually turn into burning, and that unfortunately I needed to push through that.  Fantastic.  I wasn’t quite sure I understood but I was determined to do the best I could!  The only way I was going to meet my son was if I could figure it out.  The fact that I had to push during a contraction overwhelmed me since it was hard enough just to breathe through them, but it ended up being “easier” than I thought.  You feel a contraction start but you don’t actually feel its intensity because you’re so focused on pushing and the feeling of that sensation completely takes over.  As another contraction started, Angel grabbed my right leg and Jill grabbed my left.  They bent my legs toward my chest and I pulled them closer.  Jill told me to take a deep breath in and then push the best I could.  I did, but I was certain I didn’t do it right.  She explained that after the deep inhale, I should push as hard as I could for at least 8-10 seconds, then take another breath and do it again.  She told me we wanted three good pushes during each contraction.  I was surprised no one else and no doctor was in the room since I was clearly about to have a baby, but apparently everyone else knew something I did not – pushing takes a while, especially for first time moms.  Looking back, now that I know what a push is supposed to feel like, I realize that about 45 minutes of the hour and 20 minutes or so that I was “pushing” were a complete waste of time.  I was doing nothing more than tensing my face and thinking “Push!” in my head.  Honestly.  I told Jill, in between contractions, that I felt like I had no idea what I was doing, and not only did I not want to waste my time, I certainly didn’t want to prolong the process.  I asked her to explain more thoroughly what it was supposed to feel like and what I was supposed to do, and Shawn later laughed at me for “doing my research” and trying to push "right" even as I was in the midst strong contractions and pushing our son out!  As soon as I felt the next contraction coming, I informed the girls what was happening, knowing it was almost time to start pushing again.  Jill looked at the screen and said “Yep, let’s go” and grabbed my foot.  She told me to wait for the contraction to get a little stronger.  When it did, I took a deep breath in and then pushed as long and hard as I could.  I did it three times.  “That’s it, that’s what we want!”  Jill told me.  I could definitely feel the difference.  That was harder, there was more pressure, and I felt like I was almost pushing through my butt, which is exactly what I had read it would feel like.  I relaxed and breathed as much as possible between the contractions to conserve my energy.  I talked to no one and no one talked to me.  Shawn held my hand.  I opened my eyes and looked at the picture of mother sitting on the table at the end of my bed.  My inspiration.  Please help me, Mom, I thought, please help me getting this baby out quickly and safely.  Within a couple minutes I felt another contraction coming.  “Ok, I’m ready.”  It made me smile inside that they didn’t need the monitors at all or to waste their time telling me when to push.  I was the only monitor they needed.  It amazed me the way my body knew when a contraction was coming since I didn’t have any pain medication.  I felt everything.  My body spoke and I answered.  The conversation amazed me.  The monitors served no purpose.  I told the nurse when a contraction was coming and I pushed through it the best I could.  

I could now feel when the push wasn’t as effective as I intended, and I could tell when one was really good.  It was all about bearing down and pushing as hard as possible through all the pressure.  I couldn’t believe how much pressure I felt and how low!  Jill asked if I wanted to use a mirror.  She told me it might help me understand, now that the head was visible, exactly what I needed to do.  Seeing it would help me get it.  The look on my face probably gave her my answer.  I had not planned to use a mirror and the thought had always grossed me out.  I’m not good with blood and I couldn’t imagine this was a sight I wanted to see.  She asked if we could just try it once and said that if I didn’t like it, we could forget about it.  I agreed and she wheeled it over.  “Shawn, don’t look!  Keep your head facing this way and just look at me!”  Angel laughed and it didn’t seem like Shawn had any intention of looking anyways.  We had already discussed that several times.  Another contraction came and I prepared myself.  As soon as I began to push, I noticed my eyes were closed.  It was so hard not to close them.  My whole face was scrunched up and tense and I never succeeded at relaxing it.  I’m not sure how anyone does.  But at least I was still pushing the way I was supposed to and not just tensing my face without doing anything else.  I took a deep breath and pushed again.  This time I opened my eyes and stared at a little piece of my baby's head.  Oh, my, gosh.  That’s my son, that’s Caleb.  I couldn’t believe it.  He was so close.  Inhale.  Again.  “Yes!”  Jill said with excitement.  “That’s it Kim, right there.  Keep going.  Push through it.  You can do it.  Yes!”  I opened my eyes and noticed the head seemed just a bit closer.  I could already feel more pressure.  “Did you feel the difference that time?”  Jill asked.  I nodded, which was about all I could do.  Pushing was taking all my energy, but at the same time, I just wanted to keep going.  I was so ready to meet my son.  “How much longer do you think I have to push?”  I asked Jill.  “If you push like that, I think your son will be here within about eight good pushes.”  Holy cow.  I looked at Shawn and he had the biggest smile on his face.  We had so patiently waited for our son to come when he was ready and we were finally there.  After nearly three days of early-active labor, we were about to meet our first son.  I was about to become a mommy and Shawn was about to become a daddy.  I closed my eyes and turned inward.  I was ready.  I told Caleb I was so ready to be his mommy and I asked if he was ready to come out.  I told him, Mommy is doing the best she can and pushing as hard as possible buddy, but I need your help.  I need you to work with me and do the best you can to come out, okay?  The next contraction started and I impatiently waited for the girls to grab my legs.  Let’s go, I was thinking.  I don’t want to do this all day.  When you’re ready to push, you’re ready and your body can’t just sit there.  The urge to push is so strong, mostly because of the incredible pressure.  Just as I began to push, the door opened and a woman began to speak.  She introduced herself and explained that there was an intern who wanted to watch the birth and asked if that would be okay.  Are you kidding me?!  I’m in the middle of pushing, literally, and you’re asking me now if it’s okay for someone to join the party?!  Talk about the worst timing ever.  The contraction was almost over and I had missed an opportunity to bring my son closer to me.  Angel and Jill looked just as annoyed as I felt.  “Sure, that’s fine,” I panted.  I was in labor-land, focused on nothing more than the next push, and I didn’t have any extra energy to exert.  I feel like anyone else would’ve screamed at the woman but I tried to remind myself that everybody needs to learn and if Caleb and I could help someone witness a natural birth, that was fine. Her timing was absolutely terrible but whatever.  Angel later told me she wanted to scream “Are you F’ing kidding me?  She’s about to push a baby out!”  I laughed.  If I wouldn’t have been so focused on pushing, that might’ve been my reaction too.  The next contraction came and I started to grab my own legs, took a deep inhale, and pushed as strong and hard as I could.  OWWWW!  I never screamed, I didn't want Caleb to be born in that type of environment and I was too focused internally, but I sure did grunt a few times!  Push through it, Kim.  Push.  “Yes, Kim,” Jill said.  Right there, that’s it.  Keep doing it!”  “Wow, Kim,” Angel added.  “That’s it.  You’re doing it!”  I could feel my son move lower.  It felt like he was almost out.  The pressure was immense and I could feel the deep burning Jill had told me I would at the end.  After the third push I let my legs fall.  They were getting sore.  I caught my breath and looked at Shawn.  “Good job honey, I’m so proud of you,” he said as he kissed my hand.  I didn’t even have the energy to smile, or to notice the intern standing in the corner staring at my wide-open crotch.  The normal Kim would’ve been wondering if anyone in labor and delivery hadn’t seen her crotch and butt yet but labor Kim didn’t notice anything or anyone besides the rhythms of her own body.  “Okay Kim, let’s get this baby out.  Caleb’s starting to get a headache,” Jill said.  I knew this was hard work for him too and I didn’t want to prolong the process for him either.  I could only imagine how uncomfortable this was for him.  I took a deep breath and closed my eyes.  I connected with Caleb and told him this was it, it was time for him to come out.  I told him I was ready to push him out and asked for his help one last time.  I love you buddy, I can’t wait to see you!  I couldn’t believe I was about to meet my son, the little boy I had been thinking about non-stop and dreaming about for months.   The contraction began to peak as the girls grabbed my legs.  You’ve got this Kim, you can do it.  I took a deep breath, looked at my son’s head in the mirror, then closed my eyes and turned inward as I pushed with all my might.  I pushed the hardest I had yet and I held it for what felt like forever.  “Yes Kim, this is it.  Here he comes.”  I heard Kim tell me to hold it there for a minute and I tried but I couldn’t.  My body was in control, not me.  The urge to push was unbearable and my body couldn’t just stop where it was.  There was too much pressure, way too much.  I took another deep breath and pushed again, and this time through the darkness behind my own eyelids, I saw a light figure coming into focus, a baby's face.  It was Caleb.  I saw his face and I felt his presence.  He was coming to me and I knew I was about to become his mom.  He was telling me it was time.  Okay buddy, let’s do it.  My last contraction came and I prepared myself to get my son out.  This was it.  I took a deep breath and pushed harder than I thought I could, and maybe harder than I should’ve.  “Honey, this is it.  He’s coming.  He’s right there.  PUSH!”  I heard Shawn say, and I didn't even process the fact that he had clearly been looking!  I could hear the excitement in his voice and I wanted to look but I was too focused on pushing to open my eyes.  One more deep breath, PUSH!  “Here he comes Kim,” Jill said.  “It’s time to meet your son.  Give me one more good push and he’ll be out!”  I couldn’t believe it.  This was it.  This was the moment I had been waiting for and dreaming of.  I took my last deep breath, pushed as hard as I could through all the pressure and the burning, and then I felt the craziest sensation.  I didn’t actually feel Caleb’s head and shoulders come out but I felt his little feet kick inside of me very low and I didn’t like it so my body automatically pushed again to get those feet out!  I heard a little cry and immediately felt my son on my stomach.  I looked at him in complete disbelief.  I couldn’t believe it.  This little baby just came out of me.  This was my son.  This is Caleb.  I looked at Shawn and he looked exactly the way I felt, in complete awe.  Angel told me I did great and congratulated me on my natural birth.  Jill was busy cleaning the baby and me up.  I couldn’t stop staring at him, in complete awe.  I was shocked.  I just had a baby.  This was my baby.  After nearly 10 months of pregnancy and three days of labor, he was here.  I was officially a parent, and in the blink of any eye my life changed forever.  I continued to stare at the sweet little baby who was immediately pulled up onto my chest, taking it all in.  It was so overwhelming but so amazing, every last detail.   Everyone told me how great I did and Kim laughed at the fact that instead of pushing his out out first, and then his shoulders, I pushed him all out at once (except his feet) and he literally came flying!  This, unfortunately, is also why I got a second-degree tear and had to undergo 30 minutes of stitching post-partum.  I was so focused on Caleb that I hardly noticed that or anything going on around me.  Caleb was finally here.  I held him, Shawn held me, and we enjoyed the sweetness of finally being a family.

This blog is long enough so I won't go into the post-labor details, but these first moments with my son and the first time he fed were absolutely amazing.  However, since I wanted this blog to inspire and not scare future mommies to have a natural birth, I want you to remember that my labor was abnormally long and painful because of the position my son was in.  Women who have posterior births experience significantly more lower back labor and it is much more severe because the baby is pushed up against the tailbone/coccyx and often gets stuck on the pelvis.  In fact, most women who deliver this way badly bruise or break their tailbones in the process.  Unfortunately, I was one of these "lucky" women and three weeks post-partum, I'm still in an incredible amount of pain in my tailbone and back.  In posterior births, women usually have longer labors and the pushing stage is much longer and more painful.  My doctor later told me that pushing Caleb out was the equivalent of pushing out a 10-pound baby and that he was shocked I only pushed for an hour and a half or so.  Most women have to push for hours with this type of labor because the baby's forehead, from facing the wrong way, gets stuck on the mother's pelvis and continues to bang against it rather than sliding under it.  Once I found out the baby was posterior and researched it at home, I was surprised at how rare these births really are and how blessed I was to have been able to still have a natural birth.  So many people told me that I should be so incredibly proud of myself for having a natural birth, period, and I was, but when I found out how Caleb came out, and how rare and much more painful it is, I almost couldn't process it.  In a 2005 study I found on BabyCenter, 90% of the women surveyed that had posterior births also had an epidural.  That makes me one in just 10% of women.  I couldn't believe I had done it, and my first time too!  When I asked my doctor at a follow-up visit why no one told me my baby was posterior in the hospital, he said they didn't know because most women come in screaming their heads off for an epidural, and with posterior labors, the epidural often doesn't do anything.  He said these women are usually given saline shots in pressure points in their back to help take the edge off the lower back pain, but I obviously didn't have this either.  Doctors can't be sure a baby is in a posterior position until the head is visible, and at that time the mom either has to push or go for a c-section.  The nurses did frantically search for his heartbeat at the end but I was able to push Caleb out on my own and he arrived with nothing more than a big bump on his head, which has long since disappeared.  

My labor was much longer and much more painful than it should've been because Caleb decided to be different, to be rare, to be special, and that's okay with me.  It was his special way of coming into the world and the way I became his mommy.  I'll be honest, I hope I never have to go through that again, though apparently my chances of a posterior birth (or at least re-breaking my tailbone every time) are much higher now, but at least now I know I can do it.  I am so proud of myself for not giving up when it was much more painful and longer than I expected, and hope that my story inspires any woman who is thinking about having a natural birth to try it.  My world seems like its ending when I get sick and I've never been good with pain, so if I can get through labor without medication, not to mention one of the rarest and most painful types of labor there is, anyone can do it!  It's all about setting your mind to do something, relying on God or whatever you believe in to get you through it, trusting yourself, relaxing, and surrending to the labor process rather than fighting it.  On April 17, 2013, my first-born son was born.  On April 17, 2013, I became a mommy.  Labor was the process, and even though I'm still in a lot of pain in my tailbone and back and still have a ways to go before I'm fully healed, I'd already do it again in a heartbeat.  Everyone was right, labor is the worst pain you'll ever be in (possibly, definitely not always), and the quickest pain you'll ever forget.  What you'll never forget, though, is the first moment you see and hold your child, and that moment is worth everything you just went through and then some, I guarantee it.

Caleb James, thank you for making me the happiest mommy in the whole world, and for helping me realize I am so much stronger and can do so much more than I ever dreamed of.  I have a feeling you'll be pushing me, making me stronger, and helping my dreams come true for the rest of my life.  I want nothing more than to always do the same for you.  I will remember your birthday vividly for the rest of my life, and I feel so blessed to have been able to bring you into the world naturally, even in your very special way. :)  I love you with all my heart and I am so grateful I was able to experience labor, birth, and every moment, however tiring, challenging, or painful, up to this point.  I am so blessed to be your mommy.
 

Friday, April 26, 2013

From a Woman to a Mother: The "Pain" of Labor


Today Shawn texted me that a couple of the girls at work, old friends of mine, were talking about my pregnancy and how great it is that I’ve practiced yoga throughout it and am planning on a natural birth with no induction.  He said they referred to me as their hero, and thought sharing their comments with me would make me feel good.  It made me smile but it also made me think about the high expectation everyone now has for my birth, knowing my wishes for it be as natural as possible.  I’ve made it clear that I’m planning to go through labor without an epidural or any pain medication whatsoever, but do I really know if I can do that?  I’ve never been good with pain and childbirth is supposed to be the worst kind of pain there is!  I mean, come on, it’s as if the entire world is ending when I get a cold for gosh sakes!  Have I been talking a big game, one I’m not prepared to back up?   But just as soon as those thoughts entered my mind I countered them with positive thoughts.  Yes, I can do this, I know I can.  I understand that labor is going to be “painful” but so are a lot of things in this world (I use quotation marks because painful is simply a label we place on things that are uncomfortable for us).  I was “painful” when I lost my mom and I got through that, it was “painful” when I severely over-trained for my first half marathon and stressed my peroneal tendon and was off my foot for weeks, it was “painful” when my ex-boyfriend broke up with me via text message without ever saying goodbye or explaining why he did it, and it was pretty “painful” to push through my first 30-day hot yoga challenge and two-classes per day teacher training, back to back, but I got through all those things too.  Everything passes with time and nothing lasts forever, not even labor.  That’s what I plan to remind myself of when the pain gets overwhelming.  I’m only going to feel like this for a short time, and then it will all be over and my son will be in my arms at last.  More importantly than that, though, is understanding the importance of the pain.  What feels like pain, if I label it as such, is nothing more than my muscles contracting and my body opening more and more with each one.  The physical sensations of labor might be uncomfortable, to say the least, but they are what it takes to bring my son into the world.  I don’t want to fight them and struggle through them, especially when they are helping me to birth my son, but rather surrender to them.  I want to experience each one in its entirety and focus on only one at a time, knowing that the stronger they get, the closer I am to my meeting my son.  All I know right now is that the process won’t be easy, but the best things in life never are.  I’ve packed my hospital bag with things that will both inspire and comfort me, such as a picture of my mom for my focal point, birth affirmations, and a handheld massager.  I expect that labor will be the hardest thing I’ve ever done, but it is necessary both to give birth to my son and to the mother inside of me.  Labor will probably push me past my current limits, both mentally and physically, but only by coming to my edge will I realize, once again, that the only limits that exist are the ones I tell myself exist.  I can get through labor and birth my son naturally if I make up my mind to do so and don’t let the pain get the best of me.  It is much easier said than done, as is anything, but all I really need to do is surrender to the pain rather than fight it and struggle through it, and allow my body to do exactly what it knows how to do.

Am I scared?  No.  I honestly am not.  Am I unsure of what labor is going to feel like and if I’m going to be able to manage the pain as well as I expect?  Absolutely, and that’s okay.  It’s kind of like that saying, “Leap and the net will appear.”  It doesn’t appear before you take the leap, and I won’t know how I’m going to handle labor until I’m in it!  There’s no way to know what it will feel like until I experience it myself.  Contractions feel different for everyone and labor is different for each women and each pregnancy, so there’s no sense in driving myself crazy thinking about what it will feel like and how I’ll cope.  My plan is nothing more than to try to stay as relaxed as possible and breath, knowing how important that is, and to remember that my body is opening with each contraction and bringing me closer to my son.  Simple.  I am not looking forward to the pain, but I understand it’s importance in labor and it’s importance in everything.  The things that have caused me the most pain in life have always taught me the most and labor will be no different.  I will learn how strong I really am, so much stronger than I currently think.  I will learn to listen to my body on a whole new level.  I will learn to trust myself more.  I will learn to accept help when I need it.  I will learn how to put my child in front of myself.  And most of all, somewhere in the midst of all the contractions and a “pain” I’ve never known, I will die to the person I always was, selfish and weak, and I will be born a mother, selfless and strong.  Labor is necessary to mold me into the mother I will be.  “Pain” is what teaches us to be strong, and I look forward to this opportunity to prove to myself how much stronger I am than I think, to give Caleb the healthiest start possible, and to show my son that there is nothing I wouldn’t do for him.   Most of us spend our lives trying to hide or run from “pain” but it is important to understand the significance of it.  The times I went through the most “pain” in my life were the times I felt the weakest, but ironically, they immediately preceeded the times in my life when I felt strongest and grew the most.  My labor with Caleb will be no exception.  I walk into that hospital a woman and I walk out a mother.  Pain is the process.  It makes me sad how many women don’t give themselves the chance to make it through labor naturally, but perhaps that’s because they don’t believe in themselves or understand the significance of their “pain.”  No one wants to experience “pain” or discomfort, but when we understand its purpose in our unending growth and transformation, it becomes much more bearable – if not appreciated!

My labor may not go as planned, especially if it’s anything like life, but that’s all part of it.  Anything that happens will be practice for parenting – practice listening to myself, trusting my instincts, and doing what is best for my son first and foremost.  Standing up to the doctor against induction was practice for labor, and labor will be practice for my life as a parent.  I hope things go smoothly, the way I believe they will, but it Caleb turns or his heart rate unexpectedly drops or something goes wrong, I trust that I will make the best decision for my son, even if it means deviating from my birth plan.   I am happy right here, right now, curled up on my couch with my laptop propped up just below my bulging belly, and whenever Caleb chooses to start my labor, I will be ready.  Pain is just a label and contractions last only a short time, but the love that is born the moment a mother holds her child will last forever. <3