Friday, November 30, 2007

A mexican birth story part 2

When we arrived at the hospital the fear and confusion of being in unfamiliar territory, everyone around me speaking in Spanish, gripped me. Tears started pouring down my face and I couldn't hold them back. I wanted so badly at that moment to be home in France in our local hospital surrounded by midwives, Dr. Stonehenge a phone call away and familiar friends and neighbors waiting nearby to visit. I dashed into the toilet and splashed my face over and over with cold water. The feeling eventually passed, thankfully and I just threw myself into what was about to happen. There really wasn't any other choice.

I was taken to a prelabor room and prepped by a nice nurse who did her best to animate what she was telling me. It was funny considering she was explaining the shaving of my perineal and an enema. I was initially horrified by both but neither was much of a big deal in the end. The enema did send me running to the toilet three times. It was difficult considering by the third time I was wearing several monitors and getting ready to have an epidural.

The nurse inserted a catheter and the drip of Pitocin was started at about 8am. The contractions started immediately but didn't become painful until an hour later. When they started it was with a vengence. Apparently as I discovered later, Pitocin brings on labour hard and fast like this with no letting up. My doctor dropped in around 9am and ordered my epidural to be started. We'd briefly discussed natural labor and he said he'd only ever assisted in two natural labours in his whole career. He scoffed and declared natural labour as "ridiculous" I guess it wasn't really an issue for me. I had no intention of experiencing natural labour because I was afraid of it but I have always been intrigued by it. I have always admired women who have done it. And, I thought of the pediatric heart surgeon I'd sat next to on the plane to Tampa who had discussed natural labor with me. She'd had three kids all naturally. We'd discussed pain management and women's instinct to control it. "It's just safer for the baby" she said without trying to sell me on it. I trusted her advice more than his.

The doctor did impress me in one respect. He was always close by checking on me. The epidural kept losing strength and he'd be right there looking for the nurse and anaesthesiologist, snapping orders at them. He seemed genuinely concerned with my comfort and well being. The nicest part was that he was my personal doctor and knew my case well and could relay this to anyone involved with me that day. That doesn't happen in France at all anymore, your personal ob by your side during labor and delivery. Seb and I were really impressed.

At eleven my water broke with a popping noise and by noon I was ready, dilated to 10 cm. However the Sushi was still too high and refused to drop. We waited another hour and another and still she sat high atop my stomach refusing to move an inch. Finally around 2:30 the doctor seemed frustrated. He'd had me on my right side in an effort to get her to move down but this just kept the right side of me contracting hard without the relief of the epidural. I tried to bear it but the contractions were making me want to vomit, they were so strong and rapid. Finally he gently pushed on my right side and down she went. "It's time to push. She's in her place now!" he said as he scrambled about collecting his little team of nurses and paging his wife, the pediatrician. They pulled the side of the bed up and wheeled me into a very clinical operating room.

The operating room was windowless and this kind of freaked me out. I'd had Little S in France in a room with a panoramic view-- a pink room with yellow trim. The lights were dimmed and Enya was piped through the sound system. I was told to bring candles, incense and perfumed oils. Here though was simply a cavern lit by a large operating room light. Here were clamps and surgical knives laid out in plain view. Here I had to beg the doctor in advance to let me hold my baby right after she was born. I would have never chosen this if there had been a choice.

Sushi only took three or for pushes to come out. I only had a teeny snip of an episiotomy and there she was, the biggest baby they'd seen in a long while in this hospital. I got to hold her for about thirty seconds but at least I had that. They whisked her away and did all the suctioning and snipping and washing they do which I hated but couldn't get them not to do. If she were at home I would have left her covered in vernex for at least the first few hours.

I felt incredibly good after the birth, just tired. I think I understood then what an awful time I'd had with Little S and his birth. I'd pushed for over two hours. He was born face up, ouch. I'd lost a lot of blood. I was severely anemic for weeks and I had a hard time breastfeeding and caring for him. But yet here I was just a few minutes after giving birth to a ten pound baby and feeling pretty good.

The pediatrician declared the sushi not diabetic--she tested fine for that, but she labelled her hypertrophic which meant that they had to keep her monitored and incubated for 24 hours. She was taken to the nursery and I was taken to a recovery room where they gave me some laxatives, pain pills and strapped my stomach with a giant sport bandage. The doctor told me this bandage would help my uterus get back to it's place but all it did was kill me for the next 10 hours. Finally I ripped it off and breathed a sigh of relief.

*next and last installment I'm going to talk about the hospital stay which was the most interesting part.

Tuesday, November 27, 2007

A mexican birth story part 1

I think it says in the "What to Expect" book that women feel the need to retell their birth stories over and over in order to make sense of the whole event in their own heads. I know I am no exception. After all it isn't every day that you introduce a human being into the world . Seb and I haven't had much contact with the rest of the world since the birth so writing about it has been something I have been wanting to do for two weeks. Especially since it was unique. I gave birth as an expat in Mexico after having my first baby in France.

Right before I got cut off from the internet I was talking about being diagnosed with gestational diabetes. Stepping on the scales at my doctor's office was becoming more and more stressful. Each visit I had gained at least a kilo. The doctor was stressed too and kept asking me over and over "you weighed how much before getting pregnant again?" I swore by my 50 kilos over and over and so did Seb. "She's actually quite small but she gets enormous when she's pregnant" He was right. I was 72.5 kilos at 37 weeks. The doctor ordered me to take a diabetes test.

I failed the first gestational diabetes test miserably. I did with Little S too so I didn't expect to slide by in this pregnancy. The worst part of failing the first gd test is that you have to go back and take a three hour version of the horrible one hour test. My biggest fear during the test was that I'd pass out. When I did the test in France a few years ago I was given a comfy reclining chair and lots of magazines to read. I was told to rest, encouraged to sleep and ordered not to budge. In the Mexican hospital's lab they didn't invite me to stand by. They just wanted me to come back and get blood drawn each hour. What happened to a dizzy, severely obese pregnant woman with a wiley toddler in hand was no concern of theirs. I bided my time in the hospital restaurant since the waiting room and its seven chairs were always full. I continued to feel faint and I had such a huge fear that I'd pass out and lose track of Little S, or worse harm the baby that I thought about calling Seb and telling him to come and rescue me. I was relieved when the whole thing was over and I was in the taxi for home. I just couldn't stay focused. I was sure I had failed but I actually passed the three hour test by one point. I was pre diabetic.

On Friday the ninth I had my weekly appointment. The week before I had been nearly three cms dialated and zero percent effaced. I felt like my stomach was dragging on the floor so I was sure I'd be having her soon. The doctor did another internal exam, probed and then asked me to scoot up higher. "You'll have her this weekend, okay." he announced. I laughed, "yes probably likely" He probed deeper "ouch!" I screamed. He kept poking and prodding and I kept screaming. It was such a painful exam that I asked him to stop. "Why did that hurt so much?" I asked. That's when he casually announced. "I just stripped the membranes. So do you want to check in the hospital tomorrow or Sunday." I still wasn't sure if he was kidding. He didn't even warn me. I couldn't believe he'd tried to induce labor without warning me.

Evidently such bedside behavior is very Mexican as I have discovered over the course of all of this. The doctor knows best and the patient isn't always asked if she wants this or that. In fact she's lucky if she's told anything. It's an authority thing. No one questions authority. I also think it's a macho thing. I noticed that the doctor explained all the procedures to Seb and not me. Seb who isn't used to going to any ob appointments with me. The least knowledgeable one in the room about pregnancy.

I piped in, "I suppose I'd like to have her on Monday" I said, running through the list of all the thing I needed to prepare. "You might not make it to Monday (thanks to his probing!) but we can try for that" he said handing us a small stack of paperwork to take to the hospital across the street. Seb and I kind of looked at each other baffled. I guess we'd have a baby on Monday, maybe Sunday...maybe tonight. How weird--we'd be four on Monday for sure.

The thing about scheduling an induction is that odd phenomenon of knowing when the baby is coming. In our case it was a weekend and we spent the entire time up to the birth completely freaked out.I think that somehow natural labor prepares you gradually. It must be something hormonal. It doesn't occur to you to be afraid. I didn't sleep for three nights. I was just lying there in bed wide eyed and wondering. Mostly though it was fear for the baby. I knew that the birth would be hard for her. I remembered Little S and his tiny dented head--the forceps left red marks that stayed on his face for two months. I remembered the incessant crying and the visits to the osteopath. What would be her fate? Would she be traumatised in some other way? I stayed awake each night rubbing my stomach. The suspense was unbearable.

On Monday morning Seb shook me awake. "Did you sleep well?" I was already awake. "Are you ready?" I didn't feel ready at all. I took a short shower and as the water ran I stared down at my stomach. The last pregnancy? It was all a little sad. There is something in infertilty that makes you love that shape--that feeling of a baby inside you. Even the bad parts--morning sickness and headaches, shortness of breath seem strangely pleasant. The entire nine months are sweet and blissful. Suddenly I felt sad to see the end of the pregnancy. At the same time I knew I'd meet my baby soon. This wonderful little girl that represented the toil of two years of wanting and waiting. It was going to be an emotional day I thought as tears mingled with the water in the shower.

Seb started a video of me that morning. One of those videos where you follow your wife with the camera and ask how she feels about 100 times before the baby comes. Rewatching the video I noticed that in the morning as we walk to the car I look panicked. My face is pale and my eyes are huge. You can visibly see the lump in my throat. I look scared.



*I have to tell the story in a few parts because I can't write everything in one sitting.

Monday, November 26, 2007

Sugar and spice anyone?


She's not a sushi she's a whopper! We think she's gorgeous though and the spitting image of her brother give or take a few kilos.
Charlotte Alejandre
Born November 12th at 3pm
10 lbs (4.5 kilos) 53cm
(full birth story coming soon!)