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As a birth
professional, I know how important it is to find a caregiver that shares your
birth philosophy. As soon as we confirmed our pregnancy, I contacted three
different caregivers. We found one who's philosophy was very close to ours and
felt we could relax and enjoy the rest of the pregnancy. Unfortunately, do to
some personal problems, we were notified at 36 wks into our pregnancy
that she would no longer be able to attend our birth. We were lucky to be able
to find another caregiver, someone we had not met with previously and who was
still available for our birth. In hindsight, it was actually a good change. We
immediately clicked with Valerie Downer when we first met with her at Diversity
midwives in Scarborough. Her quiet, reassuring presence and respect for our
right to informed consent, convinced us that we needed to work with her. |
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I woke up at 5am on the
morning of October 23rd 2003 with contractions every 20 minutes. I have trouble
sleeping and going back to sleep was not an option, although I did lay in bed
for awhile. I had been experiencing cervical discomfort for the last few weeks
of my pregnancy and really tried not to get excited that the baby would be
coming today. I actually woke up having one of those days were I felt like not
doing anything. Not a good way to start labour! |
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I had always gone late
with my other children, ten days with my first, seven with the second, seven
with the third and twelve with the fourth. I was surprised that things could be starting only two
days after my expected due date. I didn't tell anyone right away that I was in
labour, things were mild and contractions well spaced so I knew things could
still stop. I tried to relax for most of the day, knowing that the birth could
go well into the night. I sent the kids off to school and my husband headed to
work for the day. I enjoyed a quiet day at home with my youngest, lazily getting some last minute
laundry ready for the kids. By the afternoon, I contacted James and he came home
early. I had walked during contractions with the last four births, a coping
technique that had worked extremely well for me. However, when James and I went
for a walk that evening I told him that the walking was having no effect. The
timeline for the rest of the birth is really an approximation, I wasn't looking
at the clock! |
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Things continued to get
stronger throughout the evening and I decided to contact Valerie at around 1am.
I have had four other children and been present at many other births so I
thought I had a good idea of my progress. I had not intended to have Valerie
check my progress but when she arrived with her student, Edie, I
requested it. I was shocked to learn that I was only 1-2 cm. With my last three
babies, including Benjamyn, they have not descended into the pelvis, even during
labour. Not uncommon for a woman who has had many children. This could have been
contributing to the slow progression, there was not a lot of pressure against
the cervix to encourage it to efface and dilate. Valerie and Edie left and I
sent James to bed, I knew it was going to be a long night. |
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The contractions
continued strong and steady throughout the night. I tried to lay down between
but just couldn't sit still during a contraction. I laboured alone most of the
night and finally went to James in the morning asking him to contact
Valerie again. By this time the contractions were very strong and close
together, although they would space out whenever I rested.
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Valerie and Edie arrived. Edie
checked me and said I was 6-7cm. I was again surprised and started
thinking of ways to speed up the labour. I presented the option of
breaking my water, discussed it with Valerie and Edie performed the
procedure. |
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| I decided to get in
the labour tub, we planned to have a water birth. Again, the water had always
helped with my other labours but just didn't seem to work for this one. |
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By this time Wilhelmina had
arrived to look after the older children and Natalie had arrived to provide
labour support. I got out of the tub and walked around again. I was low moaning, OOOOPEN, OOOOPEN, over and over. James told me after that he thought I was
saying OH...Ben. At this point I was feeling overwhelmed. I had never
experienced a labour like this and was really confused. The contractions I had
been feeling for most of the morning were comparable to the transition
contractions I had with my other births. I was exhausted and really felt I could
not cope any longer. I started to talk about transferring to the hospital and
having pain medication. Everyone seemed surprised. I surprised even myself!
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I was very firm in my
birth plan that there is no way I would ever transfer for pain medication. I had
left strong instructions with my husband to refuse them at all costs. I had
never felt this kind of pain, that lasted for so long. I just was not coping! I
was still feeling like I just didn't want to be in labour today.
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Edie, the student
midwife, had done a community placement with a homeopath that we both knew. She
asked if I would be interested in trying a homeopathic remedy. I had taken a
couple of classes with Piper Martin, the homeopathic doctor, and felt I had a
basic understanding of homeopathy. I did not believe in it though and had not
practiced it for myself, although I had seen it used successfully with some of
my clients. I consented to a remedy and knew that my state of mind would be
taken into account when deciding on a remedy. For the first time I told my birth
team that I really didn't want to have a baby today. Again in hindsight, I
probably should have mentioned it earlier! Edie offered me a remedy and within a
few minutes I actually felt my spirit return. I would have further remedies
throughout the rest of the labour (I think 3 or 4 in total) and was pleasantly
surprised to have them help each time. |
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James was wonderful! He
had no doubt in his mind that he was not letting me throw away my beliefs and
head to the hospital. He kept urging me on, telling me how wonderful I was, how
much he loved me. The thing that really stuck in my head was when he called me
his 'warrior woman', that he would go to battle with me any day. You see, I knew
that if I got dressed and headed to the hospital, they would all follow me. The
decision really was mine. I decided to get angry instead. Not an approach I had
ever used before but likely brought to mind by James' warrior woman comment. I
headed for the shower, a place I always retreat to when I'm feeling upset, and
started talking to my contractions. I told them that I would win, that they
couldn't beat me, that I would climb the mountain and be the victor! |
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A fellow birth
professional had mentioned a technique of vibrating the labouring woman's thighs
or hips between your hands during a contraction. It was reminiscent of the old
machines they used in the 20's that wrapped around the hips/buttocks and
vibrated. I would use this technique successfully right up until the birth. I
also remember a technique I had read in
Ina May's Guide to Childbirth
where the mother blows air through her lips, allowing them to vibrate. It was
like an exaggerated raspberry or horse-blowing. This too would help me cope with
the hours of intense labour I would face. |
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So there I was with a
completely new set of coping techniques and they were getting me through. The
hours seemed long and short at the same time. My birth team was great,
respecting that I needed to be alone with James and quietly entering the scene
when they were needed. I would asked to have examinations, to check my progress
a few more times, often without much of a change being noted. Valerie had to
leave that morning and Nicolle Bennett stepped into the role of midwife. Hilary
Monk also arrived to act as the second midwife, although I really don't
remember seeing her until after the birth, she did a great job of
respecting our quiet, private environment. I
stayed in the shower almost constantly. Even when we ran out of hot water,
I didn't even notice because the water wasn't even on me. James pointed
out that it must have been the sound, the environment that comforted me. |
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I found that being a
birth professional and going through birth myself had it's advantages and
drawbacks. Advantages because I understood the terminology, could draw on my
experience and was familiar with many different coping techniques. Disadvantages
because I wasn't always able to get past the contraction to think like a doula!
I still needed my team to remind me of many things. For example, I had little to
eat after 1am on the 24th. By the morning my team was getting concerned about my
energy level. My midwife, Nicolle, noticed that I had ketones in my urine. Often
a sign of the body not having enough energy. Nicolle and Natalie immediately
started encouraging me to eat. As a doula I knew it was important once she
mentioned ketones but as a doula I should have remembered to eat before it got
to that point. |
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Early afternoon came
and I again requested to be examined. As soon as I lay down on the bed I could
feel the baby's head 'pop' out of my pelvis and mentioned it to Nicolle. Of
course when she checked, I was again still at 9cm (had been for most of the
morning). I asked if she would examine
me the next time while I was standing. Back to the shower I went and Nicolle
came to check me after a few contractions. This time I was 9cm with a lip of
cervix still in the way. I had experienced this with my last two births and knew
that the lip could be moved out of the way by Nicolle and I could then push past
it. We moved into the bedroom, so I would be close to the tub and I asked
Nicolle to try and move the cervical lip. It was painful but it worked.
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As soon as that lip was
out of the way I had the most explosive urge to push. I was being asked to slow
down but just couldn't. I was standing, with my arms around James' neck and his
arms around my back. Thank goodness he is such a strong man because when I
started pushing he had to hold all of my weight, I think I actually had my feet
off the ground! I knew Benjamyn was coming quickly, I could feel him emerging
into the world and I called out for someone to get the other kids. I
remember being asked if I wanted to move to the tub, but he was coming so
quickly I didn't want to move. |
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| With only two
minutes of actual pushing, the kids just made it into the room when Benjamyn
came into the world. My birth team was again wonderful. In my state of birth
euphoria there were things I had written in my birth plan, that were important
to me, but that I completely forgot to mention to anyone. My birth team
remembered and made sure to stick as close to my wishes as possible. This is
something I really try to remind my clients of when they are looking at their
caregiver. You need someone who will not just 'allow' you to do what you set out
in your birth plan, but believes in it enough to remind you and help you
accomplish it. |
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Benjamyn was born in the afternoon
on October 24th 2003. It was wonderful! |
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The family all gathered around, we
felt so loved and supported in a safe and comfortable environment. In
an effort to enjoy our new baby we decided to have a babymoon. Much like a
honeymoon it is a time to spend alone with the new baby with no visitors or
responsibilities. For three days we spent time as a family, getting to know and
love our newest addition. I decided to take my own advice with this baby and I
stayed in bed for five days. Not an easy task with four other children. |
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| I try to take something
positive from the experiences I have, to learn and grow with each new encounter.
Benjamyn's birth was challenging but also offered me new methods for coping and
a deeper understanding of some of the issues around a long labour. I was once
asked, 'At what point does pain turn to suffering?' I have always believed it is
at the point when the mother is no longer able to cope. It reaffirmed my belief
that only the woman knows what she is feeling and that needs to be respected.
Only she can decide on her limits. As a doula, this will help me support my
clients and offer them even more coping options. As a woman it reminded me of
the power we all possess. As a wife it reminded me of the respect, love and
support my husband offers me and as a mother, it reminded me of the challenges
and rewards I will always face... |
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