Thursday, August 6, 2009

Fear

Fear is obviously playing a big part in this pregnancy, and if I'm being totally honest, it is the one emotion that dictates most of my day. It is totally and utterly terrifying to be pregnant again. I feel like I'm holding my heart in my hands, waiting for the great unknown.

However, I would be lying if I said I existed through my entire 40 plus weeks with Hope, without any fear.

It was just a very different kind of fear. And looking back, I'm annoyed I wasted so much energy on this.

I certainly never feared my baby dying, as given I'd past 12 weeks, 20 weeks and my due date, I was pretty sure, as an educated woman, and a healthy woman, that didn't happen.

I was however, afraid of the birth. Because you know, we're all told just how much it hurts. From when we are kids, we have a fair idea childbirth is going to hurt. Everyone jokes about it, and you see it poorly portrayed on TV. Once you become pregnant, people start saying things to you like "good luck!" and "just take the drugs!" It all started to get me worried. You mean something that big had to come out of something that small. There was no going back though, it was going to happen eventually. Birth is the inevitable end to a pregnancy.

But all along, I knew I wanted to have a drug free birth, if possible. Deep down, I also knew when push came to shove, quite literally, I would do whatever it took to get my baby out happy and healthy, but there was a certain way I had in mind of how I wanted it all to pan out. And it did not involve drugs or surgeons. My motto, for the outside world, even though I didn't always believe it on the inside was, "the body is built to do it, women have been doing it all over the world for thousands of thousands of years - and most of them go back for more. It can't be that bad".

Most of my feelings towards the birth came from hearing the stories of other women, and about how they'd been able to be the "warrior" and birth totally naturally. I'm a robust, strong and healthy girl, so I never assumed it would be any different for me. Mum had done it three times, Simon's mum had done it three times. They had both done it with minimal help. Damn it, I was going to as well.

Then you hear the "horror stories" from women. And let me be clear, those horror stories never involved a dead baby, they normally just revolved around women needing epidurals, forceps, episiotomies or emergency c-sections and so on. So that all added to my fear. I really, really, really didn't want things to go that way for me. I just wanted to be able to grunt and moan and push and scream and say no to all interventions and birth like a real woman, without wimping out and asking for help. I didn't want to feel like a failure. I didn't want to be judged. I wanted to know that yes I did have a high pain threshold. I wanted to be a warrior.

Of course my nurse husband thought I was nuts. He kept telling me that if it got too hard and if I needed help, there was no shame in asking for it. He would always say "now you wouldn't have your appendix out without pain relief, why would you want to have a baby without pain relief?"

He had a point and I knew it, but I didn't always see it.

Roll on birth classes. The were lead by a midwife who had obviously previously been, said "birth warrior". After 10 hours of classes spread over a couple of weekends, I didn't come away from those classes feeling any fear about the pain or the birth itself, but rather inductions and the interventions. I watched several videos of babies being born and didn't flinch an inch, but when they showed the videos of "when things don't go to plan" I winced. I couldn't look through my squinty eyes to watch the epidural go in, I couldn't bear to see them give that poor woman an episiotomy. I walked out of those classes and said to Simon "please don't let them give me an epidural". And Simon is an anaesthetic nurse, he sees people get epidurals all day every day. He didn't see what the big deal was, but he also wanted me to be happy and comfortable with things, god love him.

We never actually did write a birth plan, at least nothing concrete anyway. But I did have a very good idea in my head of how I wanted things to go. Now I know enough girls who have had babies, and I know it doesn't always go to plan, but I just thought it would for me. At least I very much hoped it would. I mean after all, the pregnancy had all gone to plan. I couldn't have scripted it better. It was a dream. Perfect. Now I just had to achieve the perfect birth. I so wanted to believe that was possible.

Roll on labour beginning. Then going to hospital. Then being sent home from hospital as my cervix wasn't playing nice. Then labour slowing. Then us becoming totally bewildered and confused in the entire process and what on earth was going on and why the hell it was taking so long. We of course wanted to go back to hospital, but we were terrified. Not to mention, the hospital kept telling us to stay home, because you know, going off the sound of my voice, everything sounded "normal". Given my labour had been so long and slow, my main concern was if I went back, they'd induce me and induction would lead to interventions and often interventions failed and a failure to progress meant a c-section. And I didn't want any of it. I was terrified.

I was just so determined to get my baby out the way nature intended, that I had totally lost sight of what was really important: getting the baby out alive.

But of course I had no idea that my baby was in any danger. I had no idea she could or would in fact die. I had no idea getting her out alive was possibly not going to happen. And I had no idea, because no one tells you that's possible. Midwives don't tell you, obstetricians don't tell you, birth classes don't tell you, the media doesn't tell you. It is one big, fat, dirty secret. And this is something I desperately want to change.

We women are a funny bunch. We seem to do a good job of making other women afraid of things they don't need to be afraid of. Most of my fear came from things other women said to me. Friends, people on the street, the midwife in birth class. It comes from expectations placed upon us and a deep fear of failure. And it is all so ridiculous. Some of us let our egos run wild in pregnancy - and I will admit at times I did. It is not just all about us here people - there is another little person to consider. You know, the child we're carrying. I'm sure if I'd had a window in to my womb to ask Hope how she wanted to be born, she wouldn't have cared, just so long as she was safe. I'm sure over that weekend, she was trying to send me a message she was in danger and that I needed to get her out fast. But I could not hear her. Or was it that I wasn't listening? Those thoughts make me crazy, but they are hard to silence.

Eventually with Hope, after her tragic passing in utero, I was induced. And yes, it did bring labour on hard and fast. Would I do it again? You bet I would. Yes, the pain (physical and emotional) became unbearable and the initial painkillers they were giving me were not enough, so I asked for the dreaded epidural. Would I do it again? You bet I would.

You see this time, I have no fear of the process (or the procedures). I have no fear of how it happens. I just care about the end result. And the end result being my pink, squirming, healthy, screaming, live child. Nothing else even factors in to the equation. My health and well-being runs a very distant second to the health and well-being of my child.

I feel liberated, to be free of this fear. The fear of the pain, the fear of the interventions, the fear of not getting "the experience". It feels good. Honestly, they could cut me open with a chainsaw from head to toe without a single drug to get this baby out, and I would not care. Just make sure he's alive, and well.

Most of this has spilled out of me today because I am obviously, albeit slowly, approaching the end of this pregnancy. And naturally, as we get closer to the end, people are starting to ask what we're going to do this time. You know, to make sure IT doesn't happen again. Many are just coming straight out to ask if we're choosing a c-section this time. And we're not. But of course if it turns out we need one, we'll take one - thank you very much, no question. Others also assume that we will induce early and yes, those people would probably be spot on. I feel this is one choice I have had stolen from me. I just know mentally, I can't go to 40 weeks again, and certainly not beyond. So if my cervix is playing nice around 38 to 39 weeks, we will be opting to get this child out early. In a way though, there almost is no plan. My obstetrician and I are on the same page - we both want to do whatever it takes whenever it is needed, erring on the side of caution at all times. We both know the only thing in my birth plan this time is "live child". We are going to take each day as it comes towards the end of the pregnancy and just see how it works out. I see no point in making a concrete plan this time, when if I learnt nothing else last time, it is that things don't always go to plan. And I feel totally comfortable with all of this. All of it.

So the fear in this pregnancy is of course still there. But it is a different fear, and that is the fear that it will all happen again. That we will lose another child. Not necessarily exactly the same fate as Hope, but another random, tragic event. Cord accident. Placental abruption. Do I need to go on - they can die so many ways. But I have to trust and believe the extra care I am receiving this time around will help prevent that. If I can't let those thoughts soothe me, then I don't know what I can do. I just have to trust things will be different this time. I have to believe he's going to be ok.

I just know the fear I have is different this time, and I'm not afraid of things that are not worth being afraid of. I wish more people could see things like this. If they did, I'm pretty sure not as many babies would die.

26 comments:

  1. I had a plan, it involved taking hypobirthing classes with a well-regarded instructor. Instead, I took a dead baby mama yoga class two months to the day I held my son as he died, with the same instructor.

    I hear you, Sal. All of you, all of it, loud and clear. xo

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  2. I think you've got it figured out, Sally. The prize isn't the drug-free birth without intervention. The prize is the baby. Hopefully alive.

    I'm thinking of you and sending you peaceful vibes. I read your post about boredom, which probably has a bit to do with depression. But, that's just something we live with these days, isn't it? I'm hoping the boredom lessens and the joy increases day by day for you.

    Peace.

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  3. I am an L&D nurse who supports the wishes of the women I care for... the one's who want no intervention for pain... and those who do.

    And, I think I've said this before on Carol's site, I'd much rather have a pink & screaming neonate that is alive... a good birthing experience is just a bonus... not the goal. A bad birthing experience with a pink baby is still very good. I've never understood why many women don't get that... maybe they just haven't seen what you and I have... maybe they haven't held a baby that isn't pink.

    Alive is my goal.

    You would make a wonderful bereavement counsilor one day... you really already are to many through this blog... not sure you find much solace in that... but I believe your words bring comfort and are kindred to so many who are hurting along with you. Thank you for sharing.

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  4. Sally, we all want you to bring baby boy home too.

    Rick and I were also anxious to bring Angus out early after losing Cameron. We asked our doctor if 37 weeks would be okay, and in the end, I was induced at the beginning of 38 weeks. I am all for medical intervention of any sort as long as they keep my baby safe and alive.

    Labour seemed so much easier the second time round, and I wonder how much of that was because I knew this time our little guy was alive. Words cannot describe the joy of seeing Angus open his eyes... even though I was also filled with sadness at the same time as I remembered the same scenario with Cameron which had such a terribly, different ending.

    Given our similar experiences, fear will probably fill you right up to the very end, but hang on to your hope as well.

    Thinking of your beautiful family of four.

    Love,
    Rhonda

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  5. Of course you're right Sal. I too feared birth when I was pregnant with Freyja, and yet it was nothing to fear. Holding my dead daughter was what I should have feared. I was induced with Kees at 37 weeks, and although the pain was overwhelming and truly needed an epidural, holding my living son was my reward. I'm choosing another induction this time. I don't care about the pain - I just want my healthy child. That's all.
    And sometimes I read (or hear) stories about women who have been "traumatised" by their birth experiences .... I just want to yell at them. I want to slap them. Their children are healthy and alive. I want to ask how traumatised they would really be if they had birthed a dead child.

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  6. You are right.

    When I hear people burbling on about being a 'birth warrior' or some such, I just want to scream at them. Something along the lines of 'actually, it's NOT all about you. It's all about the BABY. A living, breathing baby. Not some sort of experience for YOU.'

    Nobody ever does tell you what you should really be afraid of. How strange. Maybe it is just too frightening to be considered as a possibility. xx

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  7. I had similar fears when I was pregnant with Lachlan. I can't believe that I was so worried about getting an episiotomy or c-section. And there were all the comments from other women, fearful comments about how scared I must be to be facing imminent childbirth. Oh, if childbirth were only the worst fear to be about pregnancy.
    Now for any future pregnancy (fingers crossed!), I just worry about getting the baby out alive and healthy. That is all. Doesn't seem like to much to ask, right?!

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  8. Incredible post Sally.

    I am with you all the way on this x

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  9. All of us know now that plans just don't work. I planned to go to the famous hospital with a state of the art NICU, but ended up delivering my baby in a little nursing home... so much for plans!!! I am waiting to hear all about Hope's little sibling once he is home happy and healthy from the hospital. Sending good wishes your way.

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  10. The birth experience is just that, an experience. The outcome is your whole life.

    I've felt exactly the same way when friends and acquaintances are planning picturesque homebirths and shy away from anything medical. It's all turned out fine (so far), but it makes me so very nervous. To me, it's like playing with fire.

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  11. I love how your OB is on the same page as you. (S)he's a great person to have in your corner.

    I'll be praying for your safe delivery and healthy baby! :)

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  12. As someone who had both sides of the birthing coin, I can say that both my births were beautiful in their own way. My daughters came out into the world--one alive and one dead. How it happened just doesn't matter anymore. Though you live with the fear of something so much bigger now, Sal, hopefully, your perspective tempers it. It is beautiful to have your priorities absolutely in check, you know. With love.

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  13. I get it Sally, I understand.
    Thanks for writing it

    jane

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  14. While we didnt have a written plan, we had a plan and knew what we wanted, etc. Of course, plans change. Preterm labor, a preemie who cant survive... These things change everything. This time, while I still want another natural birth, I just want my babies to be okay. If that means a C-section or anything else, bring it on. Just please, this time, let them be okay.

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  15. yep, here too.. Dresden was going to be this amazing natural VBAC! I read so many books and internet sites during his pregnancy - learning how to make it all perfect! When I read books, I skipped the 'bad' section.. nope, that won't be me.. nothing bad will happen to my baby! At my appt with the midwife after his birth, she asked how I was feeling, since I didn't get the VBAC.. and I said the ONLY thing I feel terrible about and regret is that if I had just signed up for the repeat c-section, maybe he would have been born earlier (since I started contracting at the end of august - his due date was 9/15) and lived. Once you hold your lifeless child in your arms.. you realize in a whole new light that it DOES NOT matter how they get there.. as long as they get there alive! To me now, the only way to have a perfect birth - is having a live baby.

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  16. Ohhh yes. I know. When I had my daughter I ended up needing the drugs (long labour + face up baby + back labour) and I remember thinking afterwards that it didn't matter but that I wanted to "try again" next time. Next time of course....not the same. Early csection; tiny baby; baby dying. It makes me sad, a little, now to think my only choice now is a csection, but on the other hand....I don't care HOW they get the baby out (ear maybe? Nose? DO NOT CARE) as long as he or she is healthy. And close to full term.

    I think maybe that there still might be some power that comes from choosing to exert some control over subsequent births - whatever that control is (choosing pain relief or not; choosing the date for the csection; whatever makes sense). It seems empowering to me somehow - like doing something active for the new baby; not letting his or her birth be ruled by fear (even though it would be so very easy to succumb to that fear).

    I don't know. Am not pregnant yet but it's something I think about.

    I wish you well Sally.

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  17. I adore you Sally. This is just so well said & so so painfully true.

    I thought this exact same thing during my pregnancy with Rose.

    they'd induce me and induction would lead to interventions and often interventions failed and a failure to progress meant a c-section

    Even though my first delivery had been easy and I wasn't scared about the delivery process - I was still absolutely naive that a baby could die at full term. Even knowing that labor is not bad at all, I was thinking ONLY of - I don't want an induction spiral.

    What I wouldn't give now for them to have induced after our 38 week NST....or even done an emergency c-section...at least that scar could heal.

    Love to you.

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  18. I was the same way- I was afraid of the c-section. I was told by my OB if the baby got bigger than 7 pounds(3.5 kgs), then I would need one due to my narrow cervix. I wanted a natural birth.

    Of course, I'd have a c-section in a heartbeat if it guarenteed a live baby.

    I'm hoping that this birth will go as to plan this time around.

    xoxo

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  19. Great post; everything you said made sense to me. I totally get the fear thing, too.

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  20. A thousand times:YES.

    I bit my lip so hard it bled the other week when an aquaintance told me she was traumatised by the recent birth of her son. He was completely healthy, she was completely healthy, but she'd had an epidural and felt like she was a failure. I nodded and held her hand and mentally chastised myself for lacking empathy, but it was SO frustrating.

    I get it Sally, I'm listening. Love to you, hon xx

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  21. Yes, it's funny what you're no longer afraid of after your baby dies. Your priorities are put into perspective. Although I'd prefer to still be naive and have Mackenzie home with me now. Thanks for this post. Someone needed to say it. Wishing you nothing but the best and a healthy live baby boy this time around.

    xo

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  22. I have been praying for you ... reading everyday wondering how you are doing, how you are feeling. I will continue to pray and read!

    You said that people are asking questions and I have one ... you don't have to answer and if it is too close I AM SORRY if you don't answer I WILL understand ...
    Has it been hard for you to take pregancy shots this time around?!

    Love, Hugs, and prayers from Myrtle Beach, SC

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  23. Just chiming in with my YES, as well. I was terrified of epidurals, right up until the point in my labor with Sierra (my stillborn baby) where I asked for one. I didn't want to be foggy from drugs when I saw her but I could no longer deal with the pain of contractions, knowing there wasn't going to be the reward of a live baby at the end of the labor.

    And, of course, I would have gladly had a c-section too, or any other intervention out there, if it would have saved her.

    But, you know, sometimes in my crazy, babylost mama mind, I still feel like I'm a bit of a...not a failure exactly... but a wimp, for getting that epidural during Sierra's birth. But you put it all in perspective here and I thank you for that.

    And next time, if there is one, I'm sure I'll feel the way you describe.

    Thinking of you and your little man.
    xo

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  24. yes, oh yes.

    I think 'we' end up talking about the fluff- the 'pain', etc. But not about the important stuff.

    And there is a lot of mis- and missing information out there.

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  25. "I feel like I'm holding my heart in my hands, waiting for the great unknown."

    But we always are. All the time. That's the part no one really wants to talk about.

    As for birth... I think it's no different than death, in that sense. We can't judge what's harder - losing a baby to SIDS or stillbirth...? How can we judge each birth against another? They're all different.

    I don't judge a mama for planning a home birth after losing a baby, or planning a c-section, either. I don't judge a mama for feeling she had a traumatic birth experience, even if she's holding a live baby... everyone's experience is so different.

    It's not a competition, you're right. It's just not. We can't do anything but make the next best choice for ourselves, one step at a time.

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