Monday, June 9th, I went for yet another obstetrician appointment to check my high blood pressure and get another non-stress test for the baby. After peeing in a cup, weighing in (four pounds gained over the weekend, making my total gain a horrifying 49 lbs) and getting cuffed (pressure still alarmingly high), I went in to see my beloved OB, who wears Birkenstocks and multi colored plastic framed glasses and who supported my plans to go au naturel (I somehow believed I had a "high pain threshold" and would be able to "ride the contractions" like some kind of "pregnant surfer goddess." I'll just visualize! I told everyone). She breezed in, did some palpating, and prounounced all and sundry "ready."
"Let's do this thing," she said. "Tomorrow. 7:30. We'll get you started with Pitocin."
Right away, the au naturel thing was at least partly abandoned; I was being induced because my blood pressure was pretty high, my mother had terrible problems with late term babies, the baby was already estimated to be pretty big, and I was far enough along (38w,5d) that induction seemed appropriate. Plus, I was gaining four pounds in two days. My feet were so swollen I had to wear Adidas sport slippers and undue the velcro all the way. My finger vanished when I poked my ankle. It was time.
I was hooked up to the monitor and left for an hour, watching my baby's peaks and valleys as she moved around. I wondered what she'd be like--if she'd be as feisty out of the womb as she was in, if she'd hiccup all the time like she did. I tried to read the charting as if it held the secret to who she was. I marveled at the way a decision to have a baby could be made with the words "Let's do this." It seemed so simple, especially after eight years of infertility, where nothing had been simple.
The rest of the day passed in a blur. I called Random, said "Are you ready to have a baby?" He immediately freaked, thinking I was in labor. "No silly, tomorrow!" I said.
"Oh!" he said, much less shaken, almost calm. "Yeah! Sure." Like this was something he did every day. You know, old pro Random.
I called my parents (who were frantic, being that they were still in South Carolina and I'm in New York), my mother in law. I called my doula, who promised she'd be there early and told me to relax and enjoy the last day. I went home and packed my bag--mints, hairdryer and curling iron (hey, a girl's gotta look good), yoga pants, big t-shirts, old underwear, my sexy (haha!) hospital gown (ordered from the Internet), my What To Expect and nursing books, and three huge pictures of my daughter, MP, that I intended to use for visualization.
When Random got home we arranged care for MP--the woman who takes care of her at daycare would have her overnight--and had our last dinner together as a threesome. I couldn't sleep that night; I was scared something would go wrong. The doula had asked me whether my OB had done an internal check, and she was surprised she hadn't--I had read, too, that inductions went far better when mothers were already primed, dilated, ripe. We had no idea what my cervix was doing apart from that it was short. I had no idea what to expect.
We got to the hospital a little late--dropping our daughter off at daycare took longer than we thought, as we had to say extra special goodbyes (plus, I had to curl my hair. Shuddup!). Once at the hospital we were immediately shown to our birthing suite, which was large, had big windows, and its own bathroom. Random took a few "before" pictures (in which I look like a huge, shining, blonde elephant, albeit one with good hair). I was given an internal exam (showing I was already one cm dilated) and hooked up to an IV and a monitor. The Pitocin was started, and dripped slowly into my IV. My doula came in a few minutes later, big bag of tricks slung on her shoulder. We were ready.
My OB came back and whipped out something resembling a crochet hook. She used it to break my waters, and suddenly I was soaked in fluid. Going to the bathroom was a treat--dragging the IV along with me, leaking blood and stuff everywhere. Random followed me with a rag and wiped everywhere I went. After I used the bathroom it was a gore fest; Random cleaned it up. If I could rent him out as a birth helper he'd make a lot of money for us, he was that awesome.
It was a while before things really got going, though. We watched the View, I had internal exams every couple of hours, and contractions started but were easy. I was dilated 2 cm, then 4. I walked around a lot, sat on the birthball, rocked in the chair. I hopped from foot to foot. The fetal monitor kept slipping, so I had to be careful how I sat. My nurse, specifically chosen and requested for me (illegally) by my doula, was from Norway; we chatted about Scandanavia, since my family is from Denmark, and I fell in love with her--a really important thing when you are undergoing something as momentous as giving birth.
Somewhere around 2 pm things started getting crazy. I was contracting hard. I remember lying in bed, using visualization: my family (me, Random, MP, my dog) were climbing steppes somewhere out West (I've never done this). Or we were running through a field, grass swiping our lithe limbs. My doula had new agey music playing and was massaging my back and shoulders. I tried to ride each contraction. I pictured myself on a giant surfboard, contraction crashing on the beach of my big belly. I stared at the pictures of my daughter and used her smile to help me through each one. It worked, for a while. I made it to about 6 cm.
Around 3:30 was when I started to get too tired, too overwhelmed with the pain. The contractions were exhausting, coming constantly and coming hard. When one came the only thing I could visualize was how good it would be to not be in the pain I was in and how much I wanted to axe something to little bits. At some point I started to cry, and then I knew I had had enough.
"I NEED an epidural," I told my OB when she came in around 4. "Pleeeeeeeeeeeeeaaaaaase. Please! GET A NEEDLE IN MY BACK NOW!!!"
Another doctor came in a few minutes later to give me the epidural--it seemed like freaking hours later. He ordered Random out of the room and told me not to move at all. As he was poking me in the back, a contraction shook me and I moved, of course. "Don't move!" he said, as he stuck me with glorious drugs. Ass--how are you not supposed to move when an earthquake is ratcheting your uterine walls? But all was well. In five I was smiling and laughing and gloriously numb, all thoughts of killing innocent bystanders wiped from memory.
And my contractions, apparently, were getting harder and longer. According to my doctors. I just lay blissfully in bed, listening to Enya, relaxing, and chatting with my doula and husband.
Somewhere around eight pm it was determined that I was 10 cm and that the baby was in position. I was instructed to push. I couldn't really feel my legs, but I could move them; this was one of the weirdest sensations ever. My husband grabbed one leg and my nurse, Ann Marie (a different nurse, also "illegally" requested for me, this time by my OB), grabbed the other. I held my thighs and hooked my arms around them. My doula stood at my right side. My OB turned off all of the lights except for a big one she shone right on my crotch, and wheeled over a mirror. I tried not to look, because I still wasn't sure I wanted to see, but it was pretty hard not to look; thankfully I didn't have on my glasses so things were a bit blurry. Contractions started coming fast and furious and I was told to bear down and push for the count of five. I was yelled at nicely for not pushing correctly. I made jokes about how it must have been hard for my OB to see anything down there (I hadn't been able to shave or trim anything for a while, due to my enormous belly...at one point I remember saying
"I'm so sorry, I should have gotten Random to take care of all of that!" to my OB, who said
"You'd be amazed at how many girls I see who get Brazilians. And Ann Marie knows, I've seen a lot of vaginas!"
So I turned to Random, who looked all uncomfortable (Lordy knows why!) and loudly proclaimed
"I promise, honey, when this is all over I'm going to get a Brazilian for you."
He scoffed and looked away, red-faced. Everyone laughed. I was yelled at to push again, then berated (nicely, sweetly) that I wasn't pushing well enough. It was 8:20 ish, and Chloe's head had made an appearance, but it would pop a little out and then back in, pop out and then back in, as if it couldn't make up her mind. "Something is keeping her in there," my OB said. Yeah! Her HUGENESS!
"How is she breathing in there?" my husband wondered.
I was yelled at again. "PUSH!" Everyone screamed. "NO! NOT LIKE THAT! LIKE YOU ARE POOPING!"
I remembered how, all pregnancy long, I had been terrified of pooping in front of everyone. "Make sure you don't let my husband see if I poop!" I had instructed my OB. Now I didn't care, although I still didn't want to poop if at all possible. Plus the mirror and everything, doubling the poop. Not a good look for my goods, even as obstructed as they were. I had taken as many precautions as I could during the day. I did apologize profusely for the possibliity that I would maybe "let a little something go"--"excuse me if I am a little flatulent," I announced to everyone. "Things are a bit out of my control at this point." But I didn't, miraculously (considering it was all I had done for the past month). People were laughing a lot, Enya was still chugging along on the doula's stereo, the lights were all nice and dim, and I had three incredible women and my incredible husband all cheering and heckling me on. It was awesome. It was just crunchy and natural enough.
And I pushed. Sometimes I did a good job, sometimes not. Decisions were made to stop the Pitocin and I started feeling my legs again, which made it easier to push. I bore down, I pushed, I felt my eyeballs popping out of my head, I felt aneurysms peppering my brain. My face, I was sure, was purple; Random confirmed it one second later by saying "Gee, your face sure is purple." I felt my hair frizzing, each individual curled strand escaping from its coiled, shining nest to twang out like a broken guitar string. My makeup was gone--I had tried to reapply somewhere around 4 ish in anticipation of birthing but had found it hopeless given the fact that I was dripping fluids wherever I went, like a giant snail. You can't put a bow on a garbage dump to make it look pretty; I'd have to rely on my maternal glow and the baby's cuteness to detract attention from my huge sweatyness.
Somewhere around 8:45 I sensed frustration blooming in my OB, and I began apologizing to everyone--sorry to my doula, who had been there for over 12 hours already (she had told me the longest birth she had been at was 18 hours, and I felt I HAD to be under that); sorry to my poor OB, who is overworked and overtired; sorry to my husband, who had patiently wiped up vagina debris all day long with nary a complaint. I heard the words "forceps" and maybe I imagined "vaccuum," and I definitely heard my OB say "this is like that birth yesterday, where we had to have the mom swing from that pole," and that did the trick. I pushed like a madwoman and my pushes started to elicit praise. "Good push!" everyone sang. "That was a good one!" "Ohhhh, you can see the head really well now!" I heard clapping and praising and "Thank God's."
Suddenly things got hectic. Someone ran off to get a cart and wheeled in what was a whole set up of scale and warming thinger and tools. Someone else yelled "we're having a baby in here, get anesthesiology down here." I just pushed. Everyone's faces seemed so shiny and happy. My OB was going to town down there; she had moved the mirror so (thankfully) I couldn't see, but Random would later tell me she was yanking me up and down and in and out like she was working clay on a pottery wheel. He was surprised I wasn't yowling from pain. I felt nothing, just the need to push. And push I did. I pushed past their measly counts-to-five, skull straining against my scalp, veins popping everywhere. I pushed over the din of my OB announcing that she was numbing me with some local as she brandished a needle the size of my head. And then, my OB said the magic words:
"Karen, look down.!!!!!"
I looked down and out slid my daughter, who was caught by my OB and immediately placed on my chest. She was yowling. She was pink and fat and alive. Hands dried her off as I held her. I was crying. My husband was bent over us. Then he was handed a tool and shown where to cut the cord. I held her for a few moments. Then she was quickly brought to the warming table, weighed (8lbs, 1oz), dressed in a blanket and hat, and checked for Apgar scores (she got a 9/10). She was brought right back to me after no more than two minutes and I started nursing her immediately--my doula was shocked at how easy she took to it. I was delirious with love. I couldn't believe how full of love I was. I wanted nothing but to relive that moment over and over--the second the baby is brought out of you--and resigned to convince Random, no matter what it took, to do it again. It was pure and complete bliss, those moments after her birth. I didn't even notice my OB, stiching me up below, until I saw a long line of black thread coming out from between my legs. She had given me an episiotomy to help with the birth. "What the hell?" I asked her.
"Eh, you just needed a little help," she said, peering at her embroidery work.
My parents then came in--they had driven 14 hours in one day in order to be there and had just made it there minutes before I gave birth. They were crying. It was incredible to be able to share that moment with them, since we hadn't been able to share the early adoption moments with them. I felt like the star (disheveled, greasy with sweat, floppy stomached) of a made-for-TLC "My Shocking Story" special--"I Had A Baby! Can You Fucking Believe That!!!"
Outside, we were having an insane thunderstorm: crashing and lightning and huge rolling cracks of thunder. It seemed, somehow, fitting: the weather gods were marking the enormity of what had just happened.
Later, Random went home to sleep and take care of our dog, and a doctor came and removed the epidural. It hurt like hell when she ripped off the bandages, and she remarked that I must have a "really hairy back" (to which I said "um, I think my husband would have told me if I had a hairy back" and then whispered, really quietly, "beeeeyotttch."). Around midnight I was transferred to another room in the mother/baby unit. I remember nursing a lot, and that it hurt. I was exhausted but could not sleep. Chloe was taken to the nursery and I tried to sleep but couldn't. I couldn't get up myself to go to the bathroom, so I had to be wheeled there in a chair. At one point, Chloe was in my room (I wanted to room-in at first) and she made little whimpering noises. I wanted to pick her up, but couldn't get out of bed without feeling intensely dizzy. I rang for the nurse (a different nurse) who came in. "I need someone to get my daughter for me," I said. "I don't know what I'm doing." She looked at me like I was a freak and gave me Chloe. I nursed and nursed and nursed, all through the night. I might have dozed at some point with Chloe lying on top of me. Very early that morning the sun came up outside my window and I watched the sunrise while nursing, my daughter's warm head nestled against me. I knew I was the luckiest woman in the world at that point.
The next day was full of visitors--an amazing fruit basket dipped in chocolate from work, my friends stopping by with Ralph Lauren baby dresses, my parents with balloons and flowers and my daughter, who was entranced by her new sister. I continued to nurse, but they wheeled Chloe away for long periods of time, to test her and bathe her.
The next night was again a constant nurse-a-thon. I was so exhausted I would fall asleep in seconds and wake up again in seconds over and over. One nurse came in and begged me to give Chloe formula. "She's wearing you out!" she objected. I said no. She took Chloe to the nursery and returned ten minutes later claiming that my daughter was "waking everyone with her constant screaming." I put her to my breast and she stopped instantly.
The next morning, discharge morning, I examined my nipples and saw a huge, blackish bruise on one of them; the hospital lactation consultant (who we finally managed to wrangle into our room) laughed and told me that sometime that night I had allowed Chloe to latch on to my areola and not my nipple, and that essentially I had a hickey on my boob. My nipples were cracked and bleeding, a little. Nursing hurt like fuck, but I was more determined than ever to make it work. Another nurse (something you learn quickly: nurses change like crazy, and some of them aren't very nice) came in and called Chloe "a little pig" for all the eating she was doing. I wanted to smack her.
We left the hospital early afternoon, laden with flowers and fruit and carrying our perfect baby in her new carseat. The man who wheeled me out was chatty, and asked me if she was my first.
"No," I said. "My second. My first was adopted."
He looked interested. "So I guess you don't love her anymore," he said.
My jaw dropped. "Um, what?" I asked. "No, that's totally wrong." I wanted to jump up and belt him one for saying that (it seemed that was becoming a trend all of a sudden, like I had used up all the hospital's normal, sweet people), but I couldn't, as I had my bag on my lap. Random was carrying Chloe behind us, and didn't hear.
"I'm adopted," the young man told me.
"That's great," I said. "I love my daughter. She is the light of my life."
"Good," he said, approving. Then he proceeded to tell me how he still lived with his parents (he was about 27), had recently claimed bankruptcy, had lost a child (I don't know whether he meant "lost" as in lostlost or "lost" as in didn't have custody anymore), and had a terrible relationship with his ex. It was the weirdest wheel-out ever, this guy telling me his Jerry Springer life story.
At the hospital entrance Random ran off to get the car and I sat in my chair and waited. A woman next to me asked if my newborn boy was my first. "That's a GIRL," my wheelchair attendant said. "God, how stupid are you? Can't you see she's wearing pink?"
Ummmm, OKAYYYYYYYYY.........
The woman made oohing noises as she peeked in at Chloe. Then she turned on me. "Is she a push baby?" she asked.
"Excuse me?" I said.
"A push baby! Did you push her out?"
"Errrrr.....yeah," I said. Is this what I had to look forward to? Weirdo personal questions and strangers telling me the sordid details of their lives? Did having a newborn bring out the Wacko in people?
Random came and rescued me then. And we drove off into the sunset, mama, baby, and doting daddy. Well, it wasn't the sunset, it was midafternoon, and I was wedged into the backseat, sore and banged up and exhausted, but we made it home.
And you know the story from there. The nursing hell began. The jaundice, the hospital stay (again), the lost weight, the late milk.
But so far, the perfect ending is all I pictured--and except for the fact that I have to go back to work in two weeks and the sudden lack of cleanliness both in my house and on and of my body, we are happily figuring out this having-two-kids thing. MP is getting more and more jealous each day she realizes Baby Chloe isn't going anywhere, poor kid. I've gone on Weight Watchers to lose the last of the baby weight (and hopefully a chunk of fat more), we're watching our stash of frozen breastmilk grow and grow (it's around a whopping 30 oz now), and Chloe is chunking up deliciously, a little too fast in my opinion.
And I'm still going to make that appointment, Random, I promise. Someday. Before the kids are in college, I swear it.