Sunday, August 01, 2010

The Newest Addition



When we were gearing up for Rowyn's birth at home, I was nervous. It was to be our maiden voyage into dangerous new territory, and it took me several months (and one movie) to adjust to the idea. Things went really well, dreamily even, so I had no objections to having our third baby at home; in fact, I have become a quiet advocate of at-home child birth, so good was our experience with Rowyn.

This delivery, while it went well, didn't go as smoothly as the previous one. Part of the reason for this is that the pregnancy in general was more challenging. Elizabeth was having heavier than normal contractions months too early. She had to be on partial bed rest for a while. Then the contractions stopped altogether, no Braxton Hicks contractions, nothing. As the delivery date drew nearer, the contractions started again. Several nights right around the baby's due date, Elizabeth would have regular contractions for a few hours. "This is it," she would think, and her adrenaline would rise. She would get up and start preparing for the baby or would just clean the kitchen or bathroom. One night, determined not to have another false start, she went for a walk at 3:00 a.m., striding alone along the gravel streets of our town hoping to get that baby out. But the contractions stopped.

She wouldn't have been all that anxious except that her parents, sister, and sister's three kids were coming, and, while she was very glad for them to come visit us, she didn't want to have the baby while they were here. Our house is very small and a home birth would have been rather uncomfortable for her with everyone there. If she didn't have the baby until after they were gone, it would have made the momentous visit sort of anti-climactic for them.

Her family left from Utah the morning of July 15th to come visit us. It is about a twelve hour drive. Elizabeth's contractions also started early that morning, but this time they didn't stop. At around nine in the morning, we loaded the kids into the stroller and walked around town, being sure to go up the steepest, longest hills we could find, starting with the one right next to our house. By the time we got near the top of that hill, Elizabeth's contractions were intense enough for her to have to stop and breathe through them before continuing. "I think it's working," she said. We kept walking for about an hour, going up that hill three more times, and then Elizabeth could tell labor was starting and it wasn't going to stop until she had the baby.

She called our midwife in Spokane and described her contractions and the midwife confirmed that the baby was on her way. Because the drive is so long from Spokane, she called a colleague in Moscow, Idaho to see if she could come over in case the baby came early.

Elizabeth had all the birth supplies neatly bundled and organized in boxes and bins in our closet. I popped a bag of soft towels into the oven to sterilize them and warm them for the baby. The contractions were pretty intense and painful now and I suggested that Elizabeth get in the hot tub. The problem was that it was mid July and a 98 degree hot tub doesn't sound very refreshing when it is 95 degrees and very sunny outside. I devised a sort of sun shade out of the hot tub cover to make the heat a little less intense and she climbed in. Even being as hot as it was, she said it was much, much better to have her contractions in the water.

A friend of ours who lives at the top of the same hill Elizabeth had been marching up earlier that day came down and got Rowyn and Sonora, who love going to her house. This was a relief, as it allowed me to focus solely on Elizabeth and allowed her to focus on having the baby. The midwife from Moscow arrived around the same time and checked in with Elizabeth, who was doing okay but feeling a little hot. She began standing up between contractions to cool off. Margaret, our midwife from Spokane, arrived a few minutes later and suggested we add some cold water to the hot tub, which was a good idea.

Soon, two more midwives in training arrived, so we had a grand total of four midwives on hand.

When Elizabeth got the urge to push, she climbed out of the hot tub and came inside, which was no small feat since her contractions were heavy, painful, and coming every two minutes. Just inside the front door, she had to kneel on the floor when one of them hit. We got her into the bedroom after that, and she labored the rest of the time in there.

Up to this point, things had been progressing well. Elizabeth was a little frightened because she hadn't done as much mental, emotional, or physical preparation as she had with the other two deliveries, and I think that as the pain increased, so did a nagging doubt that she was somehow not ready for this. To add to her fears, the baby was posterior and didn't seem to want to come out very quickly. "Is everything okay?" Elizabeth asked a few times in between pushing.

The baby's heartbeat was okay and things looked fine, though the baby seemed reluctant to make her exit. At times, I felt a little useless. Except for a brief stint lying on the bed, Elizabeth labored for the most part kneeling on the floor at the end of the bed while resting her upper body on the bed. The two midwives in training sat on the floor on either side of her while Margaret moved about coaching, examining, and guiding things. I stayed near Elizabeth's head. I asked her how I could help, but there wasn't much to do: a sip of water; a cold towel; a neck rub. With all the midwives and birth supplies scattered about, there wasn't a lot of room for me. Which was fine, because I'm not much of a birth expert, but I like to at least feel as if I'm contributing to the effort.

The pushing became more insistent and Elizabeth could feel the baby sort of crown with each push, but then when the contraction would end, the baby would retreat back in side her. This happened again and again. "Is everything okay?" She repeated. She was becoming anxious. Something didn't feel right.

Finally, the baby's head was out. "We've got a cord here." One of the midwives in training said.

"What's wrong?" Elizabeth asked.

"The cord's around the baby's neck." I was afraid. Cords around necks are not good.

But with another push and several pairs of nimble hands, the cord was unwrapped and the baby was out. She was fairly bloody, which hadn't been the case with the other two. Margaret said it was because the placenta had been so close to the cervix, which we had known all along.

Elizabeth, still knelling on the floor at the end of the bed, held our new baby to her bare chest for a few moments and then we cut the cord. The midwives wrapped up the baby in some of the warm towels and handed her to me while they attended to Elizabeth.

It's always a shock to see the color of a newly-born baby. That grayish-blue skin tone, though I know it's normal, causes me a little worry each time. She was crying--raspy, chokey, quiet, lamb-like--so I knew she was getting oxygen. Slowly, her body changed color, starting from her core and radiating outward. Her head was the last part of her to redden up. She looked kind of weird for a while with the bottom half of her face reddish and the top half bluish.

About this time, I gave her back to Elizabeth, who was sitting up at the head of the bed, her arms and legs trembling heavily. She took the baby in her arms and coaxed her to nurse. She didn't latch immediately, but soon she did, much to Elizabeth's relief. Although we knew the baby would be okay if she couldn't nurse right away, it is comforting to know right away that she will be able get the nourishment she needs to stay alive and grow.


She weighed eight pounds, four ounces, though she pooped out a whole bunch of meconium over the next hour, which probably brought her weight down a bit. The midwives finished up the examinations and the charting, cleaned up, drank some diet Coke, set up an appointment for the following day, and then left.

For me, this is the time when the home birth route is really great. We were already home. Elizabeth lay in bed. Our friend brought the girls home. I got some food ready. We proceeded at our own pace in our own home.
Elizabeth's family would be arriving in a few hours, so I finished getting their beds ready. When they called to report where they were, I didn't say anything about the birth. Elizabeth wanted to surprise them. They pulled in a little after 10:00 p.m., tired and disheveled. Had they touched Elizabeth's belly, they would have known something was up. Instead of feeling like a melon, it now felt like half-empty water balloon. But no one felt her belly. When they were near our bedroom, I said, "Come look at this; there is something in our room." I shined a dim flashlight at the spot on our bed where the baby was sleeping.

It took a second to register. "Oh my. Is that? The baby. You had the baby." Then they were laughing and hugging and congratulating Elizabeth and me.
The next few days, we hung out with the family. Mom Porter took over the kitchen and cooked everyone some great food. Dad Porter helped me dig though our flagstone patio to find the sewer cleanout, diagnose a problem with one of our cars, and get the refrigerator running more efficiently. Aleta and her kids kept our children well occupied. Elizabeth and I enjoyed their company as well as that of Amaya Juniper Lee, which is the name we settled on for our new baby.
It's been two and a half weeks since Amaya was born. Sonora, Rowyn, Amaya, Elizabeth, and I just went on an hour long walk. Elizabeth and I held hands and talked about what a pleasant postpartum experience we've had so far. Elizabeth is recovering well, and Amaya is growing strong and chubby. She's put on about a pound and a half. She is like Sonora in that she is very alert, constantly staring at stuff, already craning her neck to get a better view of whatever those dark little eyes are seeing. But she is also like Rowyn in that she sleeps pretty well. Except for a few feedings, she sleeps through the night, and takes about three naps throughout the day.
Rowyn and Sonora haven't shown any ill will toward her so far. They seem to like her when they remember she's there.
The timing of the birth was great. I had been finished with school for about two weeks, which allowed me some time to help prepare for the birth. Since then, I've been able to take Rowyn and Sonora most of the time and do a fair amount of house work and cooking. Actually, I haven't done much cooking because the people at our church provided us with so many dinners. Even though I was home and could have cooked, it was really nice to have people do this for us. Also, several days people have taken Sonora and Rowyn for the better part of the day, which allows Elizabeth and me to nap, clean up, or just recenter ourselves. We have really appreciated the help.
Now we are starting into the next phase. I'm hoping to finish this week the current set of revisions of the novel I'm working on. Sonora starts Kindergarten in three weeks. I'm going on a Scout campout in a week and a half. In a month and a half, school starts up again for me. Life and its demands are flooding back into our lives. But the last two and a half weeks have been very pleasant. In more ways than one, Amaya has brought new life to our family.

3 comments:

Zed said...

Congratulations Brother! Beautiful baby and Elizabeth never ceases to amaze me with her strength and fortitude. Now I don't feel alone with an all girl family lol being that my first 3 were girls.

Alison said...

Awesome birthing story!

I’m taking a medical anthropology class right now, and my professor is also a midwife. I love hearing her stories too. Really amazing.

Congrats again!

Is it too soon to ask when #4 will be here? I KID :)

Anonymous said...

Nice brief and this enter helped me alot in my college assignement. Gratefulness you for your information.