Monday, November 12, 2012

A Positive Second Birth

by Michelle Maurice (Vale of Evesham NCT)

As the birth of my first child had not gone anything like according to my birth plan, I was pretty nervous about having my second. My wonderful plan of a homebirth for my first baby with soothing music, candles and a birthing pool was cruelly shattered at 38 weeks and 4 days when I was diagnosed with pre-eclampsia and had to go into hospital for an induction. After a 28 hour labour, much pain relief (including an epidural) and a forceps delivery, my beautiful baby boy was born. I was delighted, but I was exhausted and I felt a failure for not having delivered him drug-free and ‘naturally’. This was all compounded by my developing blood clots a few days later which led to 6 months of medication and further feelings of having failed and wondering how anybody could ever have a second – even third! – baby. Perhaps worse, I never met anyone else at Mum and baby groups later who’d suffered a similar fate, so I felt isolated as well as suffering depression and panic attacks.

Yet this second baby was exactly what I knew my husband Martin and I both wanted, and wanted also for our son. When Seth was less than a year old, this knowledge was something which used to make me feel depressed and panicky ... it was something I ‘couldn’t’ do (despite doctors saying actually, I could – although I’d be given heparin as a safeguard against the possibility of any clots forming again).

When Seth was about 3, my body and mind had recovered as much as they were going to, and I genuinely felt fine to see if I might fall pregnant again. This wasn’t a 24 hour a day feeling – I don’t know if the decision to have a baby ever can be – but I knew it was the best time for me.

I was determined to make everything different about this pregnancy, and so hopefully birth. The pregnancy hormones that make one calm in so many ways kicked in almost straight away, and in themselves shielded me from anxiety. I prepared for this second baby in a more indulgent way. Silly, small details now made a difference, and were a bizarre way of ‘ensuring’ a better time this time around. For example, whereas items for my son had been practical and plain, sourced often from Tesco’s, now I determinedly went out and indulged my passion for gorgeous accessories – a Cath Kidston nappy bag was a must! Friends laughed along with me, knowing my passion for handbags. But for me, psychologically, this sort of behaviour was different from the first time around and so in some way might help to lead to a different birth. (Illogical? Yes. Comforting? Definitely.)

The run up to the birth was very different to my previous experience. This time, my blood pressure remained resolutely normal. Amazing! Especially in view of the fact I could never have my blood pressure read without feeling some anxiety as the familiar band was wrapped around my arm. Already, I was feeling a small sense of achievement ... 

My reflexologist had confidently predicted that my baby would be born around week 39, with a certainty that I found charming if unconvincing. I continued to enjoy my monthly pampering at her hands and was happily attending a visit to my midwife for a check-up in the middle of my 39th week when she said, ‘I think you’re going to go into labour very soon, Michelle’. Panicking at the thought of my waters breaking suddenly and publicly on my planned visit to the local swimming pool, I questioned the wisdom of proceeding with my schedule for that day. Her confidence and calmness in stating that it would be fine for me to carry on was in fact typical of my treatment from pretty well all the medical staff I encountered the second time around: eminently reassuring and confidence-inspiring.

So on that fateful Friday, despite some odd sensations that started in my back around midday (nothing you could exactly call an ache, however) I swam my 30 lengths before rolling my rotund frame into the oh-so-small shower cubicles at the local pool. I came home, remembered I’d promised to buy my son some Christmas cards to send his friends at school, rolled round to the shops (which were also starting to feel oh-so-small these days). I came home and plopped myself onto my birthing ball to see if some pelvic rotations might help my back which was still feeling...odd. I thought that perhaps some distraction might help ... watch a good film, brilliant idea! I lowered myself towards the DVD (whose idea had it been to put it practically on the floor? Why had I agreed? Madness!) and put ‘Atonement’ on.  James McAvoy therapy, that should do it.

By the time my husband returned from work about an hour later, it hadn’t done it – my back still felt odd and I felt a sense of excitement that I found hard to restrain. We decided to summon his parents, and snap a photo of my truly impressive profile before it might be too late. My in-laws arrived a few hours later, having travelled up from the coastline of South Wales, to find me decidedly restless and my husband quite calm. I decided to have an early night (‘just in case’) and retired to bed feeling guilty in case I’d caused them an unnecessary journey.

I managed to drop off to sleep quite late – I was still trying not to be excited and nervous about what the midwife (and my reflexologist!) had said. I awoke at 1.30am, experiencing period type pains, which were followed at about 2am by a distinctive ‘pop’ from within my stomach that told me my waters had broken. Things then happened quite quickly.

Pacing around the living room and sitting on my birthing ball helped me through the next half an hour or so. My husband calmly rang the hospital at about 2.30am to see if it was time to go in: they thought not. An hour or so later of trying all my breathing exercises and walking/waddling round the living room forced me to conclude that nothing was now really relieving the pretty strong contractions, and I definitely wanted to go to the hospital. My now slightly-less-calm husband rang the hospital again at 4am, and spoke to a midwife who happened to know me from my first baby. She said I could go in. Hurrah!

Having jammed my birthing ball and overnight bag into the boot of the car, Martin jammed me into the front and set off for the hospital with some haste ... thank goodness the night roads were so clear. I remember saying in between contractions that the first thing I would have when arriving at the hospital was pain relief, thank you, and thinking that we couldn’t get there soon enough. Our arrival at 4.30am was suitably dramatic, with me being unable initially to get out of the car because of an almighty contraction, and really just wanting to press myself down onto the cold, wet tarmac of the car park, which looked strangely inviting ... My panicky husband kept asking what he should do – bless him, with my birthing ball wedged under one arm and bulging overnight bag locked in the other hand he didn’t really look able to do much. Somehow we made it to the foyer, where he got a wheelchair and somehow manoeuvred me into it.

The birthing ball and overnight bag were abandoned temporarily as we made our way to maternity triage, en route losing one of my shoes (although this was only discovered later). Two lovely calm WONDERFUL midwives inspected me and said ’Oh, we can see the head’, which explained my difficulties in getting out of the car and into the hospital. I remember at this stage being very conscious of everything that was being said around me, but of not being able to talk myself in response. I felt happiest remaining on my knees gripping the headboard of the bed (not a practised position, or even a planned one, but it just felt right at the time). With a few sets of pushes, and LOTS of breathing, our beautiful daughter Scarlett May was born at 5am.


I felt such an incredible rush of love when I looked at her (and even at my husband and the midwife) – it just goes to show what oxytocin does to you. Marvellous stuff.

So there it was. A beautiful baby girl, and finally ‘closure’ from my scary first birth. This time, no pain relief and not a forcep in sight. The words of my fab NCT teacher rang clear in my mind: ‘Every labour is different, every birth is different.’

Ladies, go get yourselves that designer nappy bag!

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