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The Natural Hospital Birth of Joelle Akiko

Tuesday, 06 May 2014 22:47
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I had been having Braxton-hick for weeks. I never had them with my first so this was a whole new experience for me. I could feel her powerful kicks, and I knew she was strong. I talked to her often, telling her how excited I was for her to join our family. I started eating dates every day, and drinking Third-Trimester Tea. I was anxious about having yet another hospital birth, and even debated a last minute “unplanned” unassisted. But after much prayer, conversation, and thought, I decided it would be best for us to go ahead and go to the hospital. Michael promised me with the next baby, he would do everything in his power to make a homebirth happen. I knew I had to trust God to be my protector in the labor room, to be my Great Physician and Shepherd who would help, guide and protect me through the birthing process.

Friday morning, just over a week before her guess-date, I woke up around 3 am with fairly consistent contractions. I waited until Michael got up for work at 6 to tell him. He went on to work, and I made some tea and started getting things ready. I called my neighbor and friend who would be watching John, my oldest. After a while, the contractions tapered off. Disappointed, I walked the mile into town, hoping to kick-start labor again. While at my favorite thrift store, I ran into an acquaintance who’s wife was also pregnant. He shared with me that their baby girl had been born a few days earlier, in a beautiful unplanned unassisted birth. I was so encouraged and inspired by his story I almost didn’t mind that my labor seemed to have stopped.

 The contractions didn’t pick up that day, or the next. I tried not to be too disappointed and to make sure I really did have everything together and ready to go. I had been checking my cervix through my third trimester, and I was dilated to maybe a three and losing lots of clear mucous. I continued snacking on dates and red raspberry leaf tea. I knew it would soon.

Sunday morning around 1am I woke up to contractions about 7 min apart. I had to get on my knees in bed and quietly moan through them. I woke up Michael to let him know. We started to get everything together. I texted my doula and let her know what was happening. Around 5am the three of us decided it was time to make the drive. The contractions were about 5 minutes apart, and the hospital was a good hour and twenty minutes away, so we didn’t want to wait till the last minute. We woke up our neighbors and dropped off John. I was excited, but anxious as well.

Once in the car, the contractions stopped. I would have the odd one here or there, but nothing consistent like before. We stopped at a coffee shop so I could have some breakfast before we got the hospital, knowing we’d have to fight ridiculous “no solid food” rules once we got there. I had a couple strong rushes while we were there, but once again they stalled in the car. When we finally got to the hospital, we decided not to go into the labor ward right away. Instead, we walked the hospital grounds in the early morning light. We hung out in the hospital lobby. My doula had decided to wait before meeting us at the hospital, in case the contractions didn’t pick up again.

Finally I told Michael we should leave. Maybe I was just anxious about being at the hospital, and thought leaving would help. We went to a drugstore for some eye drops, a restaurant for some more food, and then tried to get a hotel room. Since it was still so early in the morning, they wanted to charge us for two nights. We decided against it. It was now about 7am and I had been awake for 6 hours with almost no sleep before that. We pulled into a park so I could lie in the back of the car and rest. After about ten minutes I decided this was stupid, labor had obviously stalled, and we just needed to go home. As we headed back up the hill, my contractions started again. I laughed at the irony. This baby just wanted to be born at home!

I picked up John from my friend’s house and walked home. Michael went to work to finish up a few things. I felt silly and stupid for having a “false alarm” like that. As John had been awake since we dropped him off that morning, we both laid down for a nap. I had a few more contractions but nothing I couldn’t sleep through.

Then around 11am they started to pick up again. I was annoyed. Couldn’t my body just make up its mind?! The contractions were very inconsistent. After consulting with my doula friends online, I decided not to encourage labor at this point. I took a warm shower and just tried to relax. No pressure points, no walking, just lots of water and rest, a Tylenol and a hot shower. The contractions remained consistently inconsistent. 12 minutes apart. 7 minutes apart. 10 minutes apart. 5 minutes apart. Michael came home, and he sat on the couch while I knelt over the birthing ball, just trying to relax. He would rub my back during contractions, and encourage John to help him.

Around 3pm I decided to go lay down again. I had to moan through contractions, and they were almost unbearable without Michael rubbing my lower back. But they were still so inconsistent. They definitely weren’t following a pattern of getting stronger and closer together. I had my parents on standby, as they had a six-hour drive ahead of them, I doubted they would make it in time for the birth. Then, at one point, I looked up to see John throwing up all over the floor. What?! He suddenly had diarrhea too! I called my mom and asked if they could come down. It could still be a few days before the baby came, but I didn’t want to have to send a sick kid to the neighbor’s house! Nor take care of one by myself in prodromal labor. So they packed up and started the journey down, not a moment too soon.

I texted my doula and asked her to come over so she could work on my back and give Michael a break. I decided to take another shower in the mean time to calm the contractions. I checked my cervix again, and it was still very high. So high I couldn’t tell how far dilated I was. But, I could touch her head! I had been having bloody show all day, so I knew my plug was gone, but thankfully my water was still intact. As I undressed in the bathroom, I happened to glance in the mirror and see a purple line on my lower back. “No way!” I thought. A purple line running up the butt crack is a sign of dilation. Once the line reaches the top of the butt, it signals that the cervix is at 10 cm. But I couldn’t be at 10cm already, could I? The contractions had been so inconsistent, and I didn’t feel like I was in transition, mentally or physically.

I stepped in the shower and tried to just relax. As another wave came over me, I heard myself pray, “Oh God, please let Michael forgive me for what I’m about to do!” That made me pause. What was I about to do? Suddenly I realized, “I’m going to have this baby right now!” I could feel her moving lower and lower into my pelvis. I stayed in the shower till all the hot water ran out, filled with doubt about going to the hospital still, half hoping that she would suddenly come and I would get my accidental freebirth.

I got out of the shower, and realized I couldn’t stand by myself during contractions. I had to lean on Michael and sway. My knees gave out with each surge, and they left me feeling weak and nauseous. They had all of a sudden jumped to three minutes apart, consistently. Michael asked if I wanted to go back to the hospital again. I was scared. I didn’t want another false alarm. It was such a waste of gas and everybody’s time! After Michael reassured me it was ok, we would make the drive 20 times if we had to, I agreed to go.

Getting in the car was the last thing I wanted to do at this point, and I was genuinely concerned we might have a roadside baby. But we called our neighbor to come get John again, and texted our doula and my parents to let them know what was going on. I found out later our doula was almost to our house, so she just turned around and followed us down. Thankfully the contractions slowed down in the car again, but stayed regular. I felt like there was a baseball between my legs the whole time. And of course, we hit every red light along the way.

At one point, as I felt another surge building, I said out loud “I don’t want to do another one!” Michael rubbed my hand, which helped distract from the sensations in my belly. But that contraction was definitely harder. I knew I had to keep a positive attitude. “Just one more,” I kept thinking. “I can do anything for 1 minute.”

We finally arrived at the hospital. Since it was after 6pm we had to go in through the ER. I had to fill out some forms, even though I was preregistered. They called for a wheelchair. I explained I didn’t need one, I didn’t want to sit down anyways, but the aide insisted she would get in trouble if she didn’t bring me up with a wheelchair. I told her she was welcome to bring the wheelchair with us, but I was not sitting down. We used it to bring up the luggage.

Once in triage, I changed into the hospital gown. I was too tired to protest or care at that point. I sighed and resigned myself to lie down on the monitors. It was awful lying down like that. When the nurse left, I turned to Michael and whimpered, “I hate this. I wouldn’t have to do this if we were at home.” He had already promised me our next baby would be a home birth, but that didn’t make this hospital birth any easier.

The on-call midwife finally came in to check me. I was only 6cm. I was so disappointed. I realize now that I had likely closed up from being in the car and at the hospital, and I probably was 10cm at home. But at the time I was only 6cm, and felt so discouraged. I didn’t even have an idea of how much longer we’d be there before she was born. The midwife informed me of my GBS positive status, which I knew about already, and mention the routine antibiotics. I told her I was familiar with the risks and had decided to forgo treatment. After a brief lecture, I was finally shown to a labor/birth room.

Once we were alone in the room, Michael asked me if I would reconsider the antibiotics. He had known my plans before hand, but hearing the midwife’s lecture had made him nervous. I agreed to go ahead and get treatment. I had been on the fence about denying the antibiotics anyways, so his request was all I needed to hear. We told my nurse we had changed our minds, and she went to tell the midwife, and also let my doula in. My doula instantly set up shop, setting up a diffuser with lavender essential oil and getting out her labor balls to massage my back. She also had some peppermint essential oil on a cotton ball, which really helped with the nausea I was feeling after each surge.

The nurse had asked me to lie back down on the monitors for a few minutes. I asked if we could wait till after the next contractions. She agreed and went about her business, setting up equipment and preparing the IV. Since she was so busy, I decided to stay standing up until she asked me to lie down again. She put the IV in my hand while I was leaning against Michael and my doula was rubbing my back. I stayed like that for a while, with Michael and my doula taking turns rubbing my back and being my support. As it turned out, I never did end up going back on the monitors.

Finally my mom showed up. My dad had dropped her off and gone on up to our house to pick up John. It was very special for me to have my mom there. She had offered to be there when John was born, but since I was laboring all night I felt bad and told her to go home. Now I realized how much it meant to both of us to have her there. My mom has always been a huge advocate of natural childbirth, having herself used the Bradley method. I have learned so much from her about birth while growing up. I loved having her by my side for this experience.

After a while I felt my legs getting tired. When my doula mentioned getting on the bed, I quickly agreed. I climbed up and knelt on the bed, leaning against the raised headboard. It felt so good to be able to relax my whole body against the sheets. I munched on ice, spoon-fed to me between surges, and I also asked to hold the cotton ball of peppermint oil myself, so I didn’t have to ask for it every time. I still had no idea how much longer things would be. I only knew I could do one more.

Suddenly I felt her head low in the birth canal, and I HAD to push. “UUUGGHH I’m pushing!” I moaned loudly. The nurse calmly asked me to roll over so she could check me. “Um, no!” I thought. When she asked again, my doula leaned down and repeated the question to me. I shook my head violently. No freaking way could I move right then. One contraction rolled into another as I groaned and pushed. I felt the nurse’s hand (I don’t know why she couldn’t have just checked me like that to begin with), reach in and touch the baby’s head. Obviously my back was turned so I didn’t see what happened next, but I was told later that the nurse turned and ran out of the room, ripping her gloves off and yelling for the midwife as soon as she hit the hallway. My mom turned to my doula and did a fist pump. The baby was coming!

With my first, I had a pushing urge, but it definitely wasn’t quite so intense. This time, it was like taking a giant poop. She HAD to come out NOW! “I want her out of me!” I yelled. I let out a growl/scream and pushed as hard as I could. I knew I was probably going to tear; I didn’t even care, I just wanted her out! I tried to breathe her down, to pace myself, but the urge to push was overwhelming. I don’t even remember a ring of fire, just an intense urge to get her out.

The midwife came in, and when she saw how I was positioned over the bed exclaimed, “Well, that’s one way to do it!” She asked if I wanted to deliver in that position. I nodded. Even if I wanted something else, no way could I move. I found out later she had never helped deliver a baby in that position before. I felt proud to have given her that experience.

When the baby started to crown, in my mind I could see her dark head of hair coming out. I wanted to ask what color her hair was. My son was blonde with blue eyes, but all pregnancy I had been dreaming of my brown haired, brown eyed baby girl. I just couldn’t get the words out. I was screaming as I pushed, gasping in air loudly. Any thought of keeping my voice deep and low was gone from my mind. Finally, I felt her slip out of me.

I instantly sat upright and ripped open the snaps of the hospital gown so it fell off of me, ready to reach down and grab my baby girl. “Don’t sit on her!” everyone said. “How silly,” I thought. I wasn’t going to sit on the baby I had just pushed out! I was much too aware of her for that! “Give her to me!” I kept saying over and over. But they didn’t give her to me, they were too busy suctioning and drying her off. Finally the midwife asked, “So, how do you want to do this?” “Just, pass her between my legs!” I said, while thinking “duh!” And finally they handed my sweet little girl to me. She had brown hair! I held her tightly and they helped me turn over and lay down. Baby Joelle had arrived at 10:05 pm, barely two hours after we arrived at the hospital.

We delayed cord clamping for a while, but the midwife was concerned about the amount of blood. She asked if I wanted a shot of Pitocin, which I declined, and then told me she needed to cut the cord and get the placenta out. I asked what the concern was, why the rush? She simply said she needed to make sure I wasn’t bleeding behind my placenta. (What? Whatever, I had just had a baby, I didn’t care). She put traction on the cord and pushed HARD on my stomach till the placenta gave way. I tried putting baby on my breast to help, but she wasn’t quite interested yet.

After the placenta was born, she assessed me for tears and informed me I would need one stitch for a minor tear. I asked her if it could be skipped. She left it alone for a while to see if it would stop bleeding, but after a few minutes told me that it had started bleeding again when she opened it back up (um, no duh! If you open up a cut again it’s going to bleed!). I begged her to not give me any stitches, that I would just keep my legs together. But she didn’t think much of that idea. I finally caved. She did one stitch, and then said I needed another. The second one hurt so bad. I could feel every tug and pull of the needle. “This is exactly why I didn’t want stitches!” I thought.

The stitches were the only real problem I had with my hospital birth; that, and the fact that my baby wasn’t passed to me right away. But overall, it was about as good of an experience as you can get in a hospital setting. It certainly wasn’t the home birth I had wanted, but it was still a wonderful, empowering experience. Even though the midwife hadn’t even had time to read my birth plan, she still respected me enough to ask for informed consent and respect my wishes. I really appreciated that. Thanks to her, my wonderful husband, my doula, and my mom, our family had grown to four with little drama. And for that, I praise God.

Joelle Akiko

March 30, 2014, 10:05 pm

5lbs, 15.7 oz, 17 in.   

Read 6499 times Last modified on Friday, 04 July 2014 04:00

Breanna is a wife and mother living in sunny Southern California. Before becoming a mommy, she graduated with her Bachelors of Science in Nursing from California Baptist University and obtained her California Registered Nursing License. Her passion has always been for pregnant and postpartum women and babies, and her long-term goal is to become a midwife. She is currently a social media admin for The Birthing Site.

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