**Warning: This contains all
the details of Sam's birth. If you do not want all
the details, do not read this.**
By the time I was told to start pushing I was so utterly exhausted from the back labor - which had decreased significantly after Sam turned his head, and then again when I started pushing - that I couldn't even hold up my legs. I was lying on my back and David and Crissi had to hold up my legs for me each time it was time to push, while I curled my chin into my chest. Shortly after beginning to push I had to throw up for the third time. I really don't know how I had anything left in me at that point, but poor Crissi had to hold the bowl for me while I was heaving on the bed.
After a little bit of pushing, they rolled me over onto my left side to try pushing from that position. This was a little bit more frustrating for me, though, because then I had to curl my right leg up into my chest and this not only required lifting my leg (which I could not do) but also holding it to my chest (which I could not do). So after a little bit in that position they rolled me back over onto my back, which was much easier. After one particularly long contraction, I got
very light-headed and told everyone that I might pass out. Kathleen suggested a spoonful of honey - which I don't like - but I tried it anyway. It was silly, but I was actually proud of myself in that moment for trying the honey that I knew I didn't like for me and the baby. Crissi was amazing and got a bunch of damp wash cloths that she put on my forehead and neck and would change out whenever they got warm again. (At, I think, Kathleen's suggestion, they were kept on an ice pack in between rounds.) Those damp washrags were immediately a
huge relief. I just laid there, relishing a break between contractions and the rags.
Somewhere in this time - sometime between 9:45 and 10am - my mom came in. She had made the 50-minute drive in 35 minutes. Things started to get foggy around that time but I do remember her coming in and coming to my bedside, taking Crissi's spot, and kissing my forehead.
The pushing contractions were actually super easy for me to handle - pushing was just extremely difficult because of my body's exhaustion. I remember hating feeling a contraction coming on because I was just
so tired at that point, but the pain was completely managable. In between contractions I would literally just completely collapse as soon as they were done. Crissi tried to offer to prop me up or adjust me a couple times because I was too tired to even position myself so that I wasn't falling off my pillows, but I didn't want her to because I just didn't care about it. I remember thinking at one point, with my head hanging off the left side of my pillows at an odd angle,
this is mildly uncomfortable... but being too tired to do anything about it.
Kathleen was also making Crissi make me drink in between contractions, which was
so frustrating for me. Crissi and I actually laughed about it two weeks later. She apparently could tell how frustrated I was and
hated having to ask me to take those drinks. I, in turn, hated having to drink - again simply because of my sheer exhaustion and not wanting to spend energy on
anything in between contractions - but didn't put up a fight because I knew I had to be severely dehydrated by that point. I, again, did it only for Sam. While laughing about it with her, I told her though, "I think if I could have growled at you I would have!"
As we got closer to the end, the pushing became
SO hard. I was so incredibly spent. I actually
hid two contractions because I just didn't want to push! I just laid there, trying to look relaxed while everyone talked around me, hoping that Kathleen wouldn't notice and make me push more. Ha!
I was having trouble even tucking my chin to my chest so my Mom and David would push me forward with each contraction while pulling my legs up for me. Lisa would monitor Sam's heartbeat every few minutes, always saying that he sounded good. Everyone was so encouraging, telling me how great I was doing - and all I could think was,
I'm sure they say the same thing to every woman in labor.
With each push it became harder for me to hold my breath, so I ended up grunting a lot. David told me later that he was incredibly frustrated, remembering all of our coaching on remaining "open" and relaxed and envisioning myself "opening like a flower." I have told him I am thankful for his wisdom and ability to not say any of this in those moments.
Finally, Kathleen said she could see Sam's head. Someone asked if I could see it and I just wanted to laugh - like I could see anything over my belly! Crissi offered to get a mirror, but as I was shaking my head I think Kathleen said there wasn't enough time anyway. She told David he'd better get down there quickly. With one last long push (that ended with a grunt turning into almost a scream), after an hour and ten minutes of pushing, at 10:48am Sam's head came out - followed immediately by his shoulder and the rest of his body. He was 8 pounds 3 ounces and 21 inches long. She passed him to David, who laid him on my chest. He immediately started crying, and Kathleen said he had passed meconium in the sac during the delivery and suctioned out his mouth and nose.
I just laid there, shaking and laughing and crying, saying hello to my beautiful son. He was so warm and wet and so much bigger than I thought he'd be! He was amazing. I laughed as he easily put his thumb in his mouth and wondered if he'd been doing that the whole time he was in the womb. I just couldn't believe how perfectly formed he was - and how much he looked like David. It was the most incredible high, lying with him there.
After only about five minutes Kathleen announced that the cord had stopped pulsing and moved Sam so that my Mom could cut it. Then they wiped him off a little and put him back on my chest. Kathleen then said that it was time to deliver the placenta. The act of pushing it out was hard, but delivering it actually didn't hurt at all - it just felt warm and wet - until Lisa pushed down on my abdomen to help force it out. I noticed kind of through a fog that Kathleen looked concerned and she said something about my bleeding. Then she looked at me and said she wanted to give me a shot of Pitocin because I was bleeding too much. I asked - of all things - if it would hurt. She said it might sting a little; I honestly can't remember feeling it at all.
All of the family came in then to see us. David's parents and sister had gotten there about fifteen to twenty minutes after my mom, and my Dad walked in the door as Sammy was crowning. Then Kathleen asked everyone to step out so they could clean us up.
She then looked at me and said that I had torn (which explained the pain at delivery) and that she would need to stitch me up. After laboring, I barely felt the stitching. There was some slight stinging from the Lidocaine and I felt a little pulling here and there, but I was holding my baby and it didn't matter. She kept apologizing for hurting me and I kept saying I was fine. I asked her a little bit after she finished how big a tear it was and she said it was a partial third degree tear, with an additional first degree tear in another spot that she let heal on its own. She had to put in fourteen stitches.
Then Kathleen fixed up an herbal bath for Sam and I to take together. It was hard sitting in the tub - all of my muscles hurt and I was pretty swollen - but it was such a sweet moment. I just held my little boy in the water and David sat beside the tub with us. After Sammy and I were cleaned and dried, the grandparents all came in again and got to hold him.
All in all, it was
not the birth I had expected - but I'm still glad that we had our home birth. The back labor was awful - but that was because our Bean had decided to be posterior the last week of his residency in Mommy. I have no doubts that if his head had been facing the right direction my labor would have been
much easier. On a scale of 10, my pain was a 12; but 70-90% of it was all felt in my back. I think the contractions themselves would have been completely manageable otherwise.
Additionally, I was apparently in transition - the most difficult and painful part of labor - most of the time. Dilating 6 cms in two and a half hours is very uncommon for a first labor. Everyone was shocked. I also think I would have been better able to handle the pain mentally had I
known that's what was happening in my body. But after three months of false labor, followed by nearly a week of much stronger false labor, I don't at all blame Kathleen or Crissi for thinking that I was going to need more time and trying to go home to rest. (I
am frustrated with myself for letting David sleep though - if I hadn't decided to try to manage it on my own it might have been easier, too.)
The tear, for those who have asked/wondered/cringed, has actually been surprisingly manageable! Sitting was
very uncomfortable for the first week, but a lot of that was swelling, too. My muscles were incredibly exhausted and sore from the entire labor. And while tearing had been one of mine and David's greatest fears in labor (based on some of the stories I had heard from friends), the most I have felt from it besides general mild irritation is itching now that it's healing. I have been exceedingly grateful that it hasn't bothered me in having to go to the bathroom at all and I haven't felt any severe pain from my tear.
So for those who have or wanted to ask if I would do the same thing again the answer is:
YES. Even though I was in such intense pain, I am grateful that I was in that pain in a safe and quiet environment. Had I gone to the hospital, I very likely would have been put on a Pitocin drip to expedite my progress (which would not have been necessary) because I didn't change for almost six hours, which would have made my pain even worse. I would have then had to have an epidural, which I didn't ever want. I also would have most likely had to fight very hard to avoid the eye drops, immunizations, etc., which were not a part of my plan for my child. More than anything though, I would not have had the supportive birth team that I had. Kathleen, Crissi, Lisa, David and my Mom were an amazing support. I felt safe at all times, I felt encouraged at all times, I felt empowered even in my desperation because I had a group of people who were telling me I was doing amazingly well and that I
could keep doing what I was doing. I was surrounded by peace and love and strength, and I - with tears in my eyes now - thank God for that. To be quite honest, I realize now what a blessing it was to
not be rescued by medical intervention in my labor. It is incredible to know what I went through and to know that I can do that! And it is an additional blessing to have my husband know what I went through, and how hard it was, and to have him constantly encouraging and thanking me for doing that. And hopefully the next time, my child will not turn their head like Sammy did, since that was really the root of all my pain.
It was hard - the hardest thing I hope to ever do in my life. But it was beyond worth it. And now, as I have begun to recover, I am exceedingly grateful that we had our homebirth and resting in the knowledge that everything happened exactly as God intended them to. And we could not be more grateful for the outcome.